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Organization
DR.JACOB SLUTSKY, DDS INC.
Active
Organization
DR.JACOB SLUTSKY, DDS INC.
Active
Other names
Dental Center of West LA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB J SLUTSKY D.D.S. (OWNER)
(310) 474-5575
Entity
Organization
Contact information
Practice address
1964 WESTWOOD BLVD STE 145, LOS ANGELES, CA 90025-4683
(310) 474-5575
(310) 475-1172
Mailing address
1964 WESTWOOD BLVD STE 145, LOS ANGELES, CA 90025-4683
(310) 474-5575
(310) 475-1172
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
40311
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B40311
—
CA
Enumeration date
01/02/2008
Last updated
01/02/2008
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