Organization
ASTARAEE DT
Active
Other names
Luxe Dental Cosmetics
Organization subpart
No
Provider details
NPI number
Authorized official
NYDIA GONZALEZ (OFFICE MANAGER)
(424) 372-9159
Entity
Organization
Contact information
Practice address
267 S SAN PEDRO ST UNIT 261, LOS ANGELES, CA 90012-3877
(213) 988-7071
Mailing address
11870 SANTA MONICA BLVD # 106418, LOS ANGELES, CA 90025-2276
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/05/2025
Last updated
08/05/2025
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