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Organization
ADVANCED CALIFORNIA DENTAL CLINIC INC
Active
Organization
ADVANCED CALIFORNIA DENTAL CLINIC INC
Active
Other names
Lasry Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL LASRY DDS (DENTIST)
(424) 362-6280
Entity
Organization
Contact information
Practice address
1125 S BEVERLY DR STE 750A, LOS ANGELES, CA 90035-1130
(310) 734-7705
Mailing address
1125 S BEVERLY DR STE 750A, LOS ANGELES, CA 90035-1130
(310) 734-7705
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/01/2021
Last updated
06/01/2021
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