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Organization
TOP WEST TOWER IMPLANT CENTER INC
Active
Organization
TOP WEST TOWER IMPLANT CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRE M LEE DDS (DOCTOR)
(213) 382-4336
Entity
Organization
Contact information
Practice address
2707 W OLYMPIC BLVD STE 202, LOS ANGELES, CA 90006-2859
(213) 382-4336
Mailing address
2707 W OLYMPIC BLVD STE 202, LOS ANGELES, CA 90006-2859
(213) 382-4336
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
—
—
Other
Enumeration date
06/25/2021
Last updated
09/07/2021
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