# FRANK LAALY DDS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Amalia Dental Group, LA Implants Dental Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407194350
- **Authorized official:** DR. FRANK LAALY DDS, FICOI (CEO)
- **Authorized official phone:** (323) 488-3366

## Contact information

- **Practice address:** 19228 VENTURA BLVD STE A, TARZANA, CA 91356-3101
- **Practice address phone:** (818) 578-5125
- **Mailing address:** 442 N LA CIENEGA BLVD STE 208, WEST HOLLYWOOD, CA 90048-1934
- **Mailing address phone:** (323) 488-3366
- **Mailing address fax:** (586) 261-5802

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 56900 | CA | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |
| 261QD0000X | Dental Clinic/Center | — | NULL | — |
| 261QS0112X | Oral and Maxillofacial Surgery Clinic/Center | — | NULL | — |
| 292200000X | Dental Laboratory | — | NULL | — |

## Other

- **Enumeration date:** 01/28/2013
- **Last updated:** 01/06/2024