Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Playa Vista Dental

Organization General Practice Dentistry · NPI 1013367259

Playa Vista Dental is a General Practice Dentistry in Playa Vista, California. Licensed in California. Registered with an NPI since 2016.

Licensed in
CA
In the registry since
2016

Practice location Address checks out

12975 Agustin Pl #125
Playa Vista, CA 90094-2307
Phone: (213) 453-3407
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 60753 (CA)

Record details

NPI number1013367259
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lawrence Fung — Owner · (213) 453-3407
NPI enumeratedJune 19, 2016
Last updated in NPPESJune 19, 2016
Mailing address12975 Agustin Pl, 125, Playa Vista, CA 90094-2307

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