| Jason V. Kboudi, Dds, Inc. | |
|
8641 Wilshire Blvd Ste 205 Beverly Hills CA 90211-2920 | |
| (310) 626-1212 | |
| Not Available |
| Full Name | Jason V. Kboudi, Dds, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8641 Wilshire Blvd Ste 205, Beverly Hills, California |
| Authorized Official Name and Position | Jason V Kboudi (OWNER) |
| Authorized Official Contact | 3106261212 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jason V. Kboudi, Dds, Inc. 8641 Wilshire Blvd Ste 205 Beverly Hills CA 90211-2920 Ph: (310) 626-1212 | Jason V. Kboudi, Dds, Inc. 8641 Wilshire Blvd Ste 205 Beverly Hills CA 90211-2920 Ph: (310) 626-1212 |
| NPI Number | 1285419002 |
|---|---|
| Provider Enumeration Date | 08/29/2023 |
| Last Update Date | 08/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285419002 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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