Organization
UC REGENTS OF THE UNIVERSITY OF MAXILLOFACIAL
Active
Other names
UCLA Maxillofacial Prosthetics
Organization subpart
No
Provider details
NPI number
Authorized official
ELENI D. ROUMANAS DDS (PROFESSOR)
(310) 794-9858
Entity
Organization
Contact information
Practice address
10833 LE CONTE AVE, BOX 951668, LOS ANGELES, CA 90095-1668
(310) 794-9858
(310) 206-4201
Mailing address
10833 LE CONTE AVE # A0-0156, LOS ANGELES, CA 90095-1668
(310) 206-6926
(310) 206-4201
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
37489
CA
Other
Enumeration date
05/23/2007
Last updated
03/10/2014
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