Provider Demographics
NPI:1619181294
Name:GALPER, MITCHELL HOWARD (DDDS)
Entity Type:Individual
Prefix:DR
First Name:MITCHELL
Middle Name:HOWARD
Last Name:GALPER
Suffix:
Gender:M
Credentials:DDDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5670 WILSHIRE BLVD
Mailing Address - Street 2:SUITE 1700
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90036-5679
Mailing Address - Country:US
Mailing Address - Phone:323-933-1990
Mailing Address - Fax:323-933-4990
Practice Address - Street 1:5670 WILSHIRE BLVD
Practice Address - Street 2:SUITE 1700
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90036-5679
Practice Address - Country:US
Practice Address - Phone:323-933-1990
Practice Address - Fax:323-933-4990
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA35397CA1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice