Behrouz Vafamansousi, Dds Inc | |
8500 Wilshire Blvd Ste 709 Beverly Hills CA 90211-3105 | |
(310) 201-9001 | |
Not Available |
Full Name | Behrouz Vafamansousi, Dds Inc |
---|---|
Speciality | Dentist |
Location | 8500 Wilshire Blvd Ste 709, Beverly Hills, California |
Authorized Official Name and Position | Behrouz Vafamansouri (OWNER) |
Authorized Official Contact | 3102019001 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Behrouz Vafamansousi, Dds Inc 8500 Wilshire Blvd Ste 709 Beverly Hills CA 90211-3105 Ph: (310) 201-9001 | Behrouz Vafamansousi, Dds Inc 8500 Wilshire Blvd Ste 709 Beverly Hills CA 90211-3105 Ph: (310) 201-9001 |
NPI Number | 1336488220 |
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Provider Enumeration Date | 02/12/2013 |
Last Update Date | 02/12/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336488220 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 52126 (California) | Primary |
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