# WESTSIDE ENDODONTICS INC

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

## Provider details

- **NPI number:** 1568897155
- **Authorized official:** DR. KWOR LOO DDS (OWNER)
- **Authorized official phone:** (310) 575-4143

## Contact information

- **Practice address:** 2990 S SEPULVEDA BLVD, \#304, LOS ANGELES, CA 90064-0002
- **Practice address phone:** (310) 575-4143
- **Practice address fax:** (310) 575-4092
- **Mailing address:** 2990 S SEPULVEDA BLVD, \#304, LOS ANGELES, CA 90064-0002
- **Mailing address phone:** (310) 575-4143
- **Mailing address fax:** (310) 575-4092

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 45489 | CA | Yes |

## Other

- **Enumeration date:** 09/13/2013
- **Last updated:** 09/13/2013