William Lewczuk D.D.S. INC
Clinic/Center, Dental in Los Angeles, CA. Organization (NPI-2).
NPI number1003210055
StatusActive
Last updated in NPPESOct 20, 2014
Details
- NPI
- 1003210055
- Entity type
- Organization (NPI-2)
- Legal business name
- William Lewczuk D.D.S. INC
- Organization subpart
- No
- Enumeration date
- Oct 20, 2014
- Last updated
- Oct 20, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | 38869 | CA | Yes |
Other names
- Monterey Hills Dental (Doing Business As)
Practice location
5906 Monterey RdLos Angeles, CA 90042-4943
Phone 323-256-2680 · Fax 323-341-5668
Mailing address
5906 Monterey RdLos Angeles, CA 90042-4943
Phone 323-256-2680 · Fax 323-341-5668
Authorized official
William Lewczuk
Dentist
3232562680
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