Organization
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA
Active
Other names
Dental Practice UCLA Faculty Group
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE FELIX (MANAGER)
(310) 794-5750
Entity
Organization
Contact information
Practice address
100 UCLA MEDICAL PLAZA STE 350, LOS ANGELES, CA 90024
(310) 794-5750
(310) 208-0786
Mailing address
10833 LE CONTE AVE, LOS ANGELES, CA 90095-1668
(310) 794-5750
(310) 208-0786
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
2024
CA
1223G0001X
General Practice Dentistry
2021
CA
1223P0221X
Pediatric Dentistry
Primary
2021
CA
1223P0700X
Prosthodontics
2029
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
2026
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
2023
CA
124Q00000X
Dental Hygienist
2021
CA
Other
Enumeration date
09/28/2006
Last updated
10/01/2025
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