Organization
LARCHMONT FAMILY DENTISTS - KEZIAN DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL KEZIAN (GENERAL PARTNER)
(323) 533-6872
Entity
Organization
Contact information
Practice address
443 N LARCHMONT BLVD, LOS ANGELES, CA 90004-3073
(323) 533-6872
Mailing address
443 N LARCHMONT BLVD, LOS ANGELES, CA 90004-3073
(323) 467-2777
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/27/2024
Last updated
05/27/2024
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