Individual
LAURA LYNN MATSUNAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4650 W SUNSET BLVD, MS# 116, LOS ANGELES, CA 90027-6062
(323) 669-2130
(310) 471-1862
Mailing address
6430 W SUNSET BLVD, SUITE 600, LOS ANGELES, CA 90028-7901
(323) 669-2337
(323) 644-8488
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
40854
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D40854
—
CA
Enumeration date
10/04/2006
Last updated
07/08/2007
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