| Md Periodontics | |
|
9735 Wilshire Blvd #211 Beverly Hills CA 90212-2107 | |
| (310) 859-9449 | |
| (310) 859-9451 |
| Full Name | Md Periodontics |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 9735 Wilshire Blvd, Beverly Hills, California |
| Authorized Official Name and Position | Abdollah Moshrefi (CEO) |
| Authorized Official Contact | 3108599449 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Md Periodontics 9735 Wilshire Blvd #211 Beverly Hills CA 90212-2107 Ph: (310) 859-9449 | Md Periodontics 9735 Wilshire Blvd #211 Beverly Hills CA 90212-2107 Ph: (310) 859-9449 |
| NPI Number | 1366532012 |
|---|---|
| Provider Enumeration Date | 10/13/2006 |
| Last Update Date | 08/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366532012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 46300 (California) | Primary |
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