| Convalescent Dental Care | |
|
6226 Half W Manchester Ave Los Angeles CA 90045 | |
| (310) 215-9156 | |
| Not Available |
| Full Name | Convalescent Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6226 Half W Manchester Ave, Los Angeles, California |
| Authorized Official Name and Position | Algis V. Lasas (SOLE PROPRIETOR) |
| Authorized Official Contact | 3102159156 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Convalescent Dental Care 6226 1 Half W. Manchester Ave. Los Angeles CA 90045 Ph: (310) 215-9156 | Convalescent Dental Care 6226 Half W Manchester Ave Los Angeles CA 90045 Ph: (310) 215-9156 |
| NPI Number | 1982759148 |
|---|---|
| Provider Enumeration Date | 01/25/2007 |
| Last Update Date | 04/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982759148 | NPI | - | NPPES |
| B20552 | Medicaid | CA | |
| B20552-01 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 20552 (California) | Primary |
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