Individual
DR. ALEXANDER JOHN MCMAHON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.D.
Contact information
Practice address
10833 LE CONTE AVE, CHS A0-156, LOS ANGELES, CA 90095
(310) 825-0834
Mailing address
1605 STONER AVE #8, LOS ANGELES, CA 90025
(707) 206-1559
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
65087
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
65087
CA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
65087
CA
Other
Enumeration date
06/07/2016
Last updated
12/18/2018
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