# LADDARAN DENTAL CORP

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

## Provider details

- **NPI number:** 1558427815
- **Authorized official:** DR. LESLIE T LADDARAN DDS (PRESIDENT)
- **Authorized official phone:** (213) 484-1288

## Contact information

- **Practice address:** 2105 BEVERLY BLVD, \#101, LOS ANGELES, CA 90057-2216
- **Practice address phone:** (213) 484-1288
- **Practice address fax:** (213) 484-6434
- **Mailing address:** 2105 BEVERLY BLVD, \#101, LOS ANGELES, CA 90057-2216
- **Mailing address phone:** (213) 484-1288
- **Mailing address fax:** (213) 484-6434

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 41100 | CA | Yes |

## Other

- **Enumeration date:** 12/29/2006
- **Last updated:** 12/19/2011