COURTNEY RAY MITTELMARK D.M.D. M.S.D. A PROFESSIONAL CORP. NPI 1588800510

NPI Information

COURTNEY RAY MITTELMARK, D.M.D., M.S.D., A PROFESSIONAL CORP. is a dental clinic center in Los Angeles, CA. COURTNEY RAY MITTELMARK, D.M.D., M.S.D., A PROFESSIONAL CORP. NPI is 1588800510. The provider is registered as an organization entity type.
The provider Is Doing Business As Playa Vista Orthodontics.

The provider's business location address is:

8540 S SEPULVEDA BLVD
#700
LOS ANGELES, CA
ZIP 90045-807
Phone: (310) 216-0101
Fax: (310) 216-1279

The provider's authorized official is Fabiola Ortega-frasch .
The authorized official title is Manager and has the following contact phone number (310) 216-0101.

The enumeration date for this NPI number is 12/22/2008 and was last updated on 1/25/2016.

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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