Oceanbreeze Dental
LBN: Vadim Konviser Dds A Professional Corp
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.
Vadim Konviser Dds A Professional Corp 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:
Authorized official contact:
Name: Konviser, Vadim Doctor of Dental Surgery (DDS)
Phone: (310) 578-2500
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 51095 | California |
Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 51095 |
Profile Details
NPI number | 1700367596 |
---|---|
LBN Legal business name | Vadim Konviser Dds A Professional Corp |
DBA Doing business as | Oceanbreeze Dental |
Authorized official | Konviser, Vadim Doctor of Dental Surgery (DDS) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Aug 28th, 2018 |
Last updated | Aug 28th, 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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