| NPI | 1356476865 |
|---|---|
| Doing Business As | UCLA DENTAL RADIOLOGY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | SANJAY MALLYA Professor 310-825-1689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0008X Dentist, Oral and Maxillofacial Radiology |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2025-10-02 |