| Loo Spark Dental Corporation | |
|
1194 S Lorena St Los Angeles CA 90023-2928 | |
| (323) 526-8189 | |
| (323) 526-8314 |
| Full Name | Loo Spark Dental Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1194 S Lorena St, Los Angeles, California |
| Authorized Official Name and Position | Marcos Javier Torres (PRESIDENT) |
| Authorized Official Contact | 3479132382 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Loo Spark Dental Corporation 1194 S Lorena St Los Angeles CA 90023-2928 Ph: (323) 526-8189 | Loo Spark Dental Corporation 1194 S Lorena St Los Angeles CA 90023-2928 Ph: (323) 526-8189 |
| NPI Number | 1003721689 |
|---|---|
| Provider Enumeration Date | 08/17/2026 |
| Last Update Date | 08/17/2026 |
| Certification Date | 08/17/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003721689 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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