| Ravon & Bashawaty Dental Partnership | |
|
9675 Brighton Way Ph A Beverly Hills CA 90210-5164 | |
| (310) 275-3842 | |
| (480) 275-3842 |
| Full Name | Ravon & Bashawaty Dental Partnership |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 9675 Brighton Way Ph A, Beverly Hills, California |
| Authorized Official Name and Position | Susan Lynn Nitta (OFFICE MANAGER) |
| Authorized Official Contact | 5592595650 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ravon & Bashawaty Dental Partnership 2457 W Beechwood Ave Fresno CA 93711-7015 Ph: (559) 259-5650 | Ravon & Bashawaty Dental Partnership 9675 Brighton Way Ph A Beverly Hills CA 90210-5164 Ph: (310) 275-3842 |
| NPI Number | 1093210353 |
|---|---|
| Provider Enumeration Date | 03/28/2018 |
| Last Update Date | 03/28/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093210353 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 49913 (California) | Primary |
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