E. Benji Behroozan Dds Inc. | |
2221 Lincoln Blvd # 200 Santa Monica CA 90405-1320 | |
(310) 399-1100 | |
(310) 664-8901 |
Full Name | E. Benji Behroozan Dds Inc. |
---|---|
Speciality | Dentist |
Location | 2221 Lincoln Blvd # 200, Santa Monica, California |
Authorized Official Name and Position | Ehteram Benji Behroozan (OWNER) |
Authorized Official Contact | 3103991100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
E. Benji Behroozan Dds Inc. 2221 Lincoln Blvd # 200 Santa Monica CA 90405-1320 Ph: (310) 399-1100 | E. Benji Behroozan Dds Inc. 2221 Lincoln Blvd # 200 Santa Monica CA 90405-1320 Ph: (310) 399-1100 |
NPI Number | 1003124702 |
---|---|
Provider Enumeration Date | 09/16/2010 |
Last Update Date | 09/16/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003124702 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 31568 (California) | Primary |
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