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Organization
UCLA DENTAL CLINICS
Active
Organization
UCLA DENTAL CLINICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAULO M CAMARGO DDS (ASSOCIATE DEAN OF CLINICAL AFFAIRS)
(710) 825-0928
Entity
Organization
Contact information
Practice address
10833 LE CONTE AVENUE, 10-137 CHS, LOS ANGELES, CA 90095-1668
(310) 825-9805
(310) 825-5252
Mailing address
10833 LE CONTE AVENUE, CHS, LOS ANGELES, CA 90095-1668
(310) 825-0928
(310) 206-3282
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
G01005
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G01005
—
CA
Enumeration date
10/19/2006
Last updated
10/08/2025
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