Top West Tower Implant Center INC
Clinic/Center, Dental in Los Angeles, CA. Organization (NPI-2).
NPI number1639749385
StatusActive
Last updated in NPPESSep 7, 2021
Details
- NPI
- 1639749385
- Entity type
- Organization (NPI-2)
- Legal business name
- Top West Tower Implant Center INC
- Organization subpart
- No
- Enumeration date
- Jun 25, 2021
- Certification date
- Sep 7, 2021
- Last updated
- Sep 7, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
| 261QS0112X | Clinic/Center, Oral and Maxillofacial Surgery | – | – |
Practice location
2707 W Olympic Blvd Ste 202Los Angeles, CA 90006-2859
Phone 213-382-4336
Mailing address
2707 W Olympic Blvd Ste 202Los Angeles, CA 90006-2859
Phone 213-382-4336
Authorized official
Andre M Lee
Doctor
2133824336
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