Ucla Venice Clinical
NPI #1932253184 in Venice, California
Provider Information
- NPI Number
- 1932253184
- Entity Type
- Organization
- Organization Name
- Ucla Venice Clinical
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 23, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 323 LINCOLN BLVD
- City
- Venice
- State
- California
- ZIP Code
- 90291-2842
- Phone
- (310) 392-4103
Authorized Official
- Name
- DR. JOHN YAMAMANTO, D.D.S.
- Title
- CLENAL DIRECTOR
- Phone
- (310) 392-4103
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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