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Organization
LA SNORE DOCTOR LLC
Active
Organization
LA SNORE DOCTOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL KEVIN BARRETT DDS (OWNER)
(310) 820-6831
Entity
Organization
Contact information
Practice address
11980 SAN VICENTE BLVD, SUITE 802, LOS ANGELES, CA 90049-5012
(310) 820-6831
(310) 820-2296
Mailing address
11980 SAN VICENTE BLVD, SUITE 802, LOS ANGELES, CA 90049-5012
(310) 820-6831
(310) 820-2296
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
CA
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
08/16/2013
Last updated
10/31/2013
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