# ANDREI SOUCHITSKI D.D.S, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mc Arthur Park Dental Office
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417349556
- **Authorized official:** MR. ANDREI SOUCHITSKI D.D.S (OWNER)
- **Authorized official phone:** (213) 858-4007

## Contact information

- **Practice address:** 2007 WILSHIRE BLVD, LOS ANGELES, CA 90057-3506
- **Practice address phone:** (213) 928-7297
- **Practice address fax:** (310) 274-6067
- **Mailing address:** 2007 WILSHIRE BLVD., SUITE 525, LOS ANGELES, CA 90057
- **Mailing address phone:** (213) 858-4007
- **Mailing address fax:** (213) 858-4011

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 43249 | CA | Yes |

## Other

- **Enumeration date:** 02/26/2015
- **Last updated:** 11/04/2019
