Beverly Hills Biodental | |
416 N Bedford Dr Ste 103 Beverly Hills CA 90210-4308 | |
(310) 990-5787 | |
(424) 302-0080 |
Full Name | Beverly Hills Biodental |
---|---|
Speciality | Dentist |
Location | 416 N Bedford Dr Ste 103, Beverly Hills, California |
Authorized Official Name and Position | Goar Vershinina (DENTIST/OWNER) |
Authorized Official Contact | 3109905787 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Beverly Hills Biodental 416 N Bedford Dr Ste 103 Beverly Hills CA 90210-4308 Ph: (310) 990-5787 | Beverly Hills Biodental 416 N Bedford Dr Ste 103 Beverly Hills CA 90210-4308 Ph: (310) 990-5787 |
NPI Number | 1275038382 |
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Provider Enumeration Date | 03/29/2018 |
Last Update Date | 06/16/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275038382 | NPI | - | NPPES |
F1547663 | Medicaid | CA | |
E3026942 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DDS100895 (California) | Primary |
1223G0001X | Dentist - General Practice | DDS100895 (California) | Secondary |
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