E. Benji Behroozan Dds Inc.

NPI 1003124702 - Dentist - 122300000X

NPI Details
NPI 1003124702
Enumeration Date 09/16/2010
Last Updated 09/16/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name EHTERAM EHTERAM
Position OWNER
Phone (310) 399-1100
Fax (310) 664-8901
Practice Location
2221 LINCOLN BLVD # 200
SANTA MONICA CA, 90405-1320, US
Phone (310) 399-1100
Fax (310) 664-8901
Business Location
2221 LINCOLN BLVD # 200
SANTA MONICA CA, 90405-1320, US
Phone (310) 399-1100
Fax (310) 664-8901
Toxanomy
Taxonomy Code 122300000X
License State California
License Number 31568
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According to our database, E. Benji Behroozan Dds Inc. NPI is 1003124702, taxonomy code is 122300000X and license number is 31568, license state is located at California. E. Benji Behroozan Dds Inc. physically located at 2221 Lincoln Blvd # 200, Santa Monica CA, 90405-1320. NPI Number 1033115704 has the healthcare provider type.

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1003124702 NPI number is provided on an as is basis without warranty of any kind. 1003124702 is maintained by the National Plan & Provider Enumeration System. The contents of E. Benji Behroozan Dds Inc. are for informational purposes only.