Provider Demographics
NPI:1720242696
Name:FRIEDMAN, ALAN M (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:M
Last Name:FRIEDMAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1990 WESTWOOD BLVD
Mailing Address - Street 2:SUITE 250
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-8411
Mailing Address - Country:US
Mailing Address - Phone:310-477-8043
Mailing Address - Fax:310-474-5702
Practice Address - Street 1:1990 WESTWOOD BLVD
Practice Address - Street 2:SUITE 250
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-8411
Practice Address - Country:US
Practice Address - Phone:310-477-8043
Practice Address - Fax:310-474-5702
Is Sole Proprietor?:No
Enumeration Date:2008-07-10
Last Update Date:2008-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA208591223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice