NPI:
1144437898
Provider Name:
DE VELA DENTAL CORPORATION
Former Legal Business Name: DE VELA DENTAL GROUP, INC.
Classification:
Dentist - 1223G0001X
Entity Type:
Organization
Specialization: General Practice
Address:
5300 SANTA MONICA BLVD
SUITE 404
LOS ANGELES, CA
ZIP 90029
Phone:
(323) 462-3305
Get Directions
DE VELA DENTAL CORPORATION is a general practice dentist in Los Angeles, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DE VELA DENTAL CORPORATION NPI is 1144437898. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is De Vela Dental Group, Inc..
The provider's business location address is:
5300 SANTA MONICA BLVD
SUITE 404
LOS ANGELES, CA
ZIP 90029-131
Phone: (323) 462-3305
Fax: (323) 462-3327
The provider's authorized official is Armaine De Vela .
The authorized official title is Dentist Ceo and has the following contact phone number (323) 462-3305.
The enumeration date for this NPI number is 5/16/2007 and was last updated on 8/22/2020.