PERIO IMPLANT HEALTH PROFESSIONALS NPI 1992914196

NPI Information

PERIO IMPLANT HEALTH PROFESSIONALS is a periodontics dentist in Los Angeles, CA. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. PERIO IMPLANT HEALTH PROFESSIONALS NPI is 1992914196. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1127 WILSHIRE BLVD
SUITE 1110
LOS ANGELES, CA
ZIP 90017-901
Phone: (213) 481-0664
Fax: (213) 481-2902

The provider's authorized official is William Matoska .
The authorized official title is Periodontist and has the following contact phone number (213) 481-0664.

The enumeration date for this NPI number is 5/22/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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