Organization
LA DELL DENTAL CORPORATION
Active
Other names
LA DENTAL BRACES
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA WOLFF (MANAGER)
(213) 423-1127
Entity
Organization
Contact information
Practice address
1127 WILSHIRE BLVD STE 404, LOS ANGELES, CA 90017-3905
(323) 600-5287
Mailing address
1127 WILSHIRE BLVD STE 404, LOS ANGELES, CA 90017-3905
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/17/2023
Last updated
10/17/2023
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