Organization
6TH STREET FAMILY DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN HAZANY DDS (PARTNER)
(213) 484-2100
Entity
Organization
Contact information
Practice address
2065 W 6TH STREET, SUITE 109, LOS ANGELES, CA 90057
(213) 484-2100
(213) 484-1474
Mailing address
2065 W 6TH STREET, SUITE 109, LOS ANGELES, CA 90057
(213) 484-2100
(213) 484-1474
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
39963
CA
122300000X
Dentist
41084
CA
Other
Enumeration date
01/22/2007
Last updated
06/13/2008
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