# DAVIS FAMILI DDS MAGD INC

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

## Provider details

- **NPI number:** 1528192317
- **Authorized official:** DR. DAVE FAMILI DDS (PRESIDENT)
- **Authorized official phone:** (310) 477-7744

## Contact information

- **Practice address:** 11500 W OLYMPIC BLVD, \#508, LOS ANGELES, CA 90064
- **Practice address phone:** (310) 477-7744
- **Practice address fax:** (310) 477-1144
- **Mailing address:** 11500 W OLYMPIC BLVD, LOS ANGELES, CA 90064
- **Mailing address phone:** (310) 477-7744
- **Mailing address fax:** (310) 477-1144

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 30499 | CA | Yes |

## Other

- **Enumeration date:** 03/15/2007
- **Last updated:** 07/10/2008