# DR.JACOB SLUTSKY, DDS INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Dental Center of West LA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134304728
- **Authorized official:** DR. JACOB J SLUTSKY D.D.S. (OWNER)
- **Authorized official phone:** (310) 474-5575

## Contact information

- **Practice address:** 1964 WESTWOOD BLVD STE 145, LOS ANGELES, CA 90025-4683
- **Practice address phone:** (310) 474-5575
- **Practice address fax:** (310) 475-1172
- **Mailing address:** 1964 WESTWOOD BLVD STE 145, LOS ANGELES, CA 90025-4683
- **Mailing address phone:** (310) 474-5575
- **Mailing address fax:** (310) 475-1172

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 40311 | CA | Yes |

## Other

- **Enumeration date:** 01/02/2008
- **Last updated:** 01/02/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | B40311 | — | CA |