UCLA VENICE CLINICAL

VENICE, CA
NPI1932253184
Entity TypeOrganization
Authorized ContactJOHN YAMAMANTO
Clenal Director
310-392-4103
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  D40407)
Enumeration Date2007-01-23
Last Update Date2020-08-22
Business Address
UCLA VENICE CLINICAL
323 LINCOLN BLVD
VENICE, CA 90291-2842
Phone number: 310-392-4103
Mailing Address
UCLA VENICE CLINICAL
323 LINCOLN BLVD
VENICE, CA 90291-2842
Phone number: 310-392-4103