Individual
ANNA LAURA SEYDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
11301 WILSHIRE BLVD BLDG 500, LOS ANGELES, CA 90073-1003
(310) 478-3711
Mailing address
11301 WILSHIRE BLVD BLDG 500, LOS ANGELES, CA 90073-1003
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
092195
AN INDIVIDUAL WHO RENDERS HEALTH CARE SERVICES
—
Enumeration date
01/03/2023
Last updated
01/03/2023
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