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Organization
UC REGENTS OF THE UNIVERSITY OF MAXILLOFACIAL
Active
Organization
UC REGENTS OF THE UNIVERSITY OF MAXILLOFACIAL
Active
Other names
UCLA Maxillofacial Prosthetics
Organization subpart
No
Provider details
NPI number
Authorized official
ELENI D. ROUMANAS DDS (PROFESSOR)
(310) 794-9858
Entity
Organization
Contact information
Practice address
10833 LE CONTE AVE, BOX 951668, LOS ANGELES, CA 90095-1668
(310) 794-9858
(310) 206-4201
Mailing address
10833 LE CONTE AVE # A0-0156, LOS ANGELES, CA 90095-1668
(310) 206-6926
(310) 206-4201
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
37489
CA
Other
Enumeration date
05/23/2007
Last updated
03/10/2014
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