Oceanbreeze Dental

LBN: Konviser Dental Professional Corporation
Oceanbreeze Dental is an health care organization with primary practice located at 4644 Lincoln Blvd Ste 404 , Marina Del Rey CA 90292-6380. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is the primary health care specialty. Konviser Dental Professional Corporation can be contacted via phone (310) 578-2500, or through Konviser, Vadim via phone (310) 578-2500.

Contact Information

Primary practice address
4644 Lincoln Blvd Ste 404 Marina Del Rey CA 90292-6380
Phone: (310) 578-2500
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Konviser, Vadim Doctor of Dental Surgery (DDS)
Phone: (310) 578-2500

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 51095 California
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 51095 California

Profile Details

NPI number 1265913081
LBN Legal business name Konviser Dental Professional Corporation
DBA Doing business as Oceanbreeze Dental
Authorized official Konviser, Vadim Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 29th, 2018
Last updated Aug 29th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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