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

UCLA School of Dentistry Esthetic

Organization General Practice Dentistry · NPI 1962545103

UCLA School of Dentistry Esthetic is a General Practice Dentistry in Los Angeles, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007

Practice location Address checks out

10833 Le Conte Ave Rm 33-064A
Los Angeles, CA 90095-3075
Phone: (310) 825-4736
Fax: (310) 267-2656
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 21347 (CA)

Record details

NPI number1962545103
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Reuben Kim — Division Chair · (310) 825-7312
Other names Esthetic Dentistry Department- Bill Yancey
NPI enumeratedFebruary 15, 2007
Last updated in NPPESOctober 9, 2025
Certification dateOctober 9, 2025
Mailing address10833 Le Conte Ave., Chs 33-064, Los Angeles, CA 90095-1668

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