Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Premiere Dental Care, Inc

Organization Dentist · NPI 1619116936

Premiere Dental Care, Inc provides Dentist services in Los Angeles, California. Licensed in California. Registered with an NPI since 2009.

Licensed in
CA
In the registry since
2009
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11340 W Olympic Blvd #240
Los Angeles, CA 90064 Not confirmed with CMS for 17 years — call before visiting
Phone: (310) 575-8828
Fax: (818) 591-5895
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 39304 (CA)

Record details

NPI number1619116936
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Yasuhiro Matsumura — President · (310) 575-8828
NPI enumeratedFebruary 10, 2009
Last updated in NPPESFebruary 10, 2009
Mailing address11340 W. Olympic Blvd, 240, Los Angeles, CA 90064

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