| Dan P Benyamini Dds Inc | |
|
1826 West Seven Street Los Angeles CA 90057 | |
| (218) 484-6660 | |
| (213) 484-8001 |
| Full Name | Dan P Benyamini Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 1826 West Seven Street, Los Angeles, California |
| Authorized Official Name and Position | Karla P Zavala (OFFICE MANAGER) |
| Authorized Official Contact | 2134846660 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dan P Benyamini Dds Inc 1826 West Seven Street Los Angeles CA 90057 Ph: (218) 484-6660 | Dan P Benyamini Dds Inc 1826 West Seven Street Los Angeles CA 90057 Ph: (218) 484-6660 |
| NPI Number | 1750491536 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 03/07/2011 |
| Medicare PECOS PAC ID | 0749465334 |
|---|---|
| Medicare Enrollment ID | O20110425000792 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750491536 | NPI | - | NPPES |
| G9212501 | Other | CA | DENTICAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 46168 (California) | Primary |
| Provider Name | Dan P Benyamini |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1073715785 PECOS PAC ID: 1658556246 Enrollment ID: I20110425000809 |
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