# DAVID VAYSLEYB DDS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194192229
- **Authorized official:** DAVIV VAYSLEYB DDS (OWNER)
- **Authorized official phone:** (310) 474-1800

## Contact information

- **Practice address:** 10673 W PICO BLVD, LOS ANGELES, CA 90064-2221
- **Practice address phone:** (310) 474-1800
- **Practice address fax:** (310) 474-1883
- **Mailing address:** 10673 W PICO BLVD, LOS ANGELES, CA 90064-2221
- **Mailing address phone:** (310) 474-1800
- **Mailing address fax:** (310) 474-1883

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 61841 | CA | Yes |

## Other

- **Enumeration date:** 08/24/2015
- **Last updated:** 08/24/2015