Playa Vista Dental
NPI #1013367259 in Playa Vista, California
Provider Information
- NPI Number
- 1013367259
- Entity Type
- Organization
- Organization Name
- Playa Vista Dental
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 19, 2016
- Last Updated
- Jun 19, 2016
Practice Location
- Address
- 12975 AGUSTIN PL
- Address 2
- #125
- City
- Playa Vista
- State
- California
- ZIP Code
- 90094-2307
- Phone
- (213) 453-3407
Authorized Official
- Name
- DR. LAWRENCE FUNG, DDS
- Title
- OWNER
- Phone
- (213) 453-3407
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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