# ROCHELLE SKINNER DENTAL

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

## Provider details

- **NPI number:** 1922918341
- **Authorized official:** ROCHELLE SKINNER DDS (PRESIDENT)
- **Authorized official phone:** (816) 616-6009

## Contact information

- **Practice address:** 10913 VENICE BLVD, LOS ANGELES, CA 90034-7009
- **Practice address phone:** (310) 895-9885
- **Practice address fax:** (424) 326-8033
- **Mailing address:** 10913 VENICE BLVD, LOS ANGELES, CA 90034-7009
- **Mailing address phone:** (310) 895-9885
- **Mailing address fax:** (424) 326-8033

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | — |
| 122300000X | Dentist | — | — | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 09/09/2026
- **Last updated:** 09/09/2026