Ravon & Bashawaty Dental Partnership | |
9675 Brighton Way Ph A Beverly Hills CA 90210-5164 | |
(310) 275-3842 | |
(480) 275-3842 |
Full Name | Ravon & Bashawaty Dental Partnership |
---|---|
Speciality | Dentist - Periodontics |
Location | 9675 Brighton Way Ph A, Beverly Hills, California |
Authorized Official Name and Position | Susan Lynn Nitta (OFFICE MANAGER) |
Authorized Official Contact | 5592595650 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ravon & Bashawaty Dental Partnership 2457 W Beechwood Ave Fresno CA 93711-7015 Ph: (559) 259-5650 | Ravon & Bashawaty Dental Partnership 9675 Brighton Way Ph A Beverly Hills CA 90210-5164 Ph: (310) 275-3842 |
NPI Number | 1093210353 |
---|---|
Provider Enumeration Date | 03/28/2018 |
Last Update Date | 03/28/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093210353 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0300X | Dentist - Periodontics | 49913 (California) | Primary |
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