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Organization
REGENTS OF UNIVERSITY OF CALIFORNIA
Active
Organization
REGENTS OF UNIVERSITY OF CALIFORNIA
Active
Other names
UCLA Dental Radiology Practice
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANJAY MALLYA DDS (PROFESSOR)
(310) 825-1689
Entity
Organization
Contact information
Practice address
10833 LE CONTE AVE, CHS 10 -165, LOS ANGELES, CA 90095-1668
(310) 825-5634
(310) 206-2748
Mailing address
10833 LE CONTE AVE., CHS 53-068, LOS ANGELES, CA 90095-1668
(310) 825-1689
(310) 825-7232
Taxonomy
Speciality
Code
Description
License number
State
1223X0008X
Oral and Maxillofacial Radiology Dentistry
Primary
—
CA
Other
Enumeration date
02/23/2007
Last updated
10/02/2025
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