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Organization
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA
Active
Organization
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA
Active
Parent organization
FACULTY GROUP DENTAL PRACTICE AT UCLA
Other names
UCLA Dental Oral Surgery Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
FACULTY GROUP DENTAL PRACTICE AT UCLA
Authorized official
DR. WAYNE OZAKI DDS (CLM PROFESSOR)
(310) 825-3442
Entity
Organization
Contact information
Practice address
10833 LE CONTE AVE # A0-156C, LOS ANGELES, CA 90095-3075
(310) 825-0834
(310) 794-2198
Mailing address
10833 LE CONTE AVE, 200 MEDICAL PLAZA, SUITE 460, LOS ANGELES, CA 90095-1668
(310) 825-3442
(310) 794-7933
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
24545
CA
Other
Enumeration date
07/18/2006
Last updated
10/02/2025
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