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Organization
LARCHMONT VILLAGE DENTAL SPECIALTY CENTER, INC.
Active
Organization
LARCHMONT VILLAGE DENTAL SPECIALTY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KWOR CHIEH LOO DDS (OWNER)
(626) 475-7424
Entity
Organization
Contact information
Practice address
321 N LARCHMONT BLVD STE 721, LOS ANGELES, CA 90004-6407
(323) 465-3116
Mailing address
321 N LARCHMONT BLVD STE 721, LOS ANGELES, CA 90004-6407
(323) 465-3116
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DDS45489
CA
1223P0300X
Periodontics
—
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
CA
Other
Enumeration date
12/14/2017
Last updated
10/01/2024
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