IndividualActive
Sotirios Tetradis, DDS
NPI 1538247754 · Oral and Maxillofacial Radiology Dentistry · Los Angeles, CA
Provider details
- NPI number
- 1538247754
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Radiology DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- SP-199 (CA)
Specialties & taxonomies
Dental Providers
Practice location
10833 Le Conte Ave
Chs 10-165
Los Angeles, CA 90095-1668
Phone: (310) 825-5634
Fax: (310) 206-2748
Approximate (ZIP-level) locationGet directions
Mailing address
10833 Le Conte Ave
Los Angeles, CA 90095-1668
Registry dates
- Enumerated
- 2006-11-02
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.