DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KONVISER DENTAL PROFESSIONAL CORPORATION

Active Organization

KONVISER DENTAL PROFESSIONAL CORPORATION is a Oral & Maxillofacial Surgery organization located in MARINA DEL REY, California. NPI 1265913081 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery · MARINA DEL REY, CA

Registration Details

NPI Number
1265913081
Provider Type
Organization
NPI Issued
Aug 29, 2018 (7.7714791843021 yrs)
Last Updated
Aug 29, 2018
Licenses
51095 (CA)
51095 (CA)

Practice Information

Address
4644 LINCOLN BLVD STE 404
MARINA DEL REY, CA, 902926380
Browse CA providers · Browse ZIP 90292
Phone
3105782500
Primary Specialty
Oral & Maxillofacial Surgery
1223S0112X
Additional Specialty
Oral & Maxillofacial Surgery

Other Oral & Maxillofacial Surgery Organizations in MARINA DEL REY, CA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.