| Mark Treystman Dds Inc | |
|
6333 Wilshire Blvd 207 Los Angeles CA 90048-5702 | |
| (323) 653-5484 | |
| (323) 653-5485 |
| Full Name | Mark Treystman Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 6333 Wilshire Blvd, Los Angeles, California |
| Authorized Official Name and Position | Mark Treystman (OWNER) |
| Authorized Official Contact | 3236535484 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Treystman Dds Inc 6333 Wilshire Blvd 207 Los Angeles CA 90048-5702 Ph: (323) 653-5484 | Mark Treystman Dds Inc 6333 Wilshire Blvd 207 Los Angeles CA 90048-5702 Ph: (323) 653-5484 |
| NPI Number | 1972679124 |
|---|---|
| Provider Enumeration Date | 11/28/2006 |
| Last Update Date | 10/25/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972679124 | NPI | - | NPPES |
| D45416 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 45416 (California) | Primary |
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