Pierce La Sierra Dental Group INC

NPI #1316131782 in Culver City, California

Provider Information

NPI Number: 1316131782
Entity Type: Organization
Organization Name: Pierce La Sierra Dental Group INC
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 29, 2007
Last Updated: Aug 29, 2007

Practice Location

Address: 5427 SOUTH SEPULVEDA BLVD
Address 2: SUITE A
City: Culver City
State: California
ZIP Code: 90230
Phone: (310) 398-1622

Authorized Official

Name: MR. MICHAEL M ALIJANI
Title: VICE PRESIDENT
Phone: (951) 688-0082

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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