Organization
LARCHMONT VILLAGE DENTAL SPECIALTY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KWOR CHIEH LOO DDS (OWNER)
(626) 475-7424
Entity
Organization
Contact information
Practice address
321 N LARCHMONT BLVD STE 721, LOS ANGELES, CA 90004-6407
(323) 465-3116
Mailing address
321 N LARCHMONT BLVD STE 721, LOS ANGELES, CA 90004-6407
(323) 465-3116
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DDS45489
CA
1223P0300X
Periodontics
—
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
CA
Other
Enumeration date
12/14/2017
Last updated
10/01/2024
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