| Beverlywood Dental | |
|
8515 Venice Blvd Los Angeles CA 90034-2548 | |
| (310) 839-3900 | |
| (310) 839-3332 |
| Full Name | Beverlywood Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 8515 Venice Blvd, Los Angeles, California |
| Authorized Official Name and Position | Yigal Prilutsky (PRESIDENT) |
| Authorized Official Contact | 8189299572 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beverlywood Dental 8515 Venice Blvd Los Angeles CA 90034-2548 Ph: (310) 839-3900 | Beverlywood Dental 8515 Venice Blvd Los Angeles CA 90034-2548 Ph: (310) 839-3900 |
| NPI Number | 1457532459 |
|---|---|
| Provider Enumeration Date | 11/19/2007 |
| Last Update Date | 02/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457532459 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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