| E. Benji Behroozan Dds Inc. | |
|
2221 Lincoln Blvd # 200 Santa Monica CA 90405-1320 | |
| (310) 399-1100 | |
| (310) 664-8901 |
| Full Name | E. Benji Behroozan Dds Inc. |
|---|---|
| Speciality | Dentist |
| Location | 2221 Lincoln Blvd # 200, Santa Monica, California |
| Authorized Official Name and Position | Ehteram Benji Behroozan (OWNER) |
| Authorized Official Contact | 3103991100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| E. Benji Behroozan Dds Inc. 2221 Lincoln Blvd # 200 Santa Monica CA 90405-1320 Ph: (310) 399-1100 | E. Benji Behroozan Dds Inc. 2221 Lincoln Blvd # 200 Santa Monica CA 90405-1320 Ph: (310) 399-1100 |
| NPI Number | 1003124702 |
|---|---|
| Provider Enumeration Date | 09/16/2010 |
| Last Update Date | 09/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003124702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 31568 (California) | Primary |
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