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Provider Information for 1730347204



DR. FRANK LAALY DDS, FICOI

Other Name:   FARZAN LAALY
Gender: MALE

Individual NPI: 1730347204

Calendar Last Updated: 2019-05-20

Details

Name Value
NPI 1730347204
Enumeration Date 2008-05-30
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 528 AMALIA AVE
LOS ANGELES, CA 90022-2630
United States

Phone: 323-488-3366 | Fax:
View Map External Link
Primary Practice Address 528 AMALIA AVE
LOS ANGELES, CA 90022-2630
United States

Phone: 323-488-3366 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other URL info@laimplants.com HIPPA Compliant Secure Email Los Angeles Los Angeles 528 AMALIA AVE
LOS ANGELES, CA 90022-2630
United States
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist CA 56900
No 1223S0112X - Dentist Oral and Maxillofacial Surgery CA 56900