Organization
ADVANCED CALIFORNIA DENTAL CLINIC INC
Active
Other names
Lasry Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL LASRY DDS (DENTIST)
(424) 362-6280
Entity
Organization
Contact information
Practice address
1125 S BEVERLY DR STE 750A, LOS ANGELES, CA 90035-1130
(310) 734-7705
Mailing address
1125 S BEVERLY DR STE 750A, LOS ANGELES, CA 90035-1130
(310) 734-7705
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/01/2021
Last updated
06/01/2021
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