Organization
WEST LOS ANGELES DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT HAZANY DDS (DENTIST PARTNER)
(310) 207-4900
Entity
Organization
Contact information
Practice address
11870 SANTA MONICA BLVD, SUITE 212, LOS ANGELES, CA 90025-2281
(310) 207-4900
(310) 207-8358
Mailing address
11870 SANTA MONICA BLVD, SUITE 212, LOS ANGELES, CA 90025-2281
(310) 207-4900
(310) 207-8358
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/03/2007
Last updated
03/15/2011
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