| Beverly Hills Periodontal Arts & Implants | |
|
8500 Wilshire Blvd Ste 819 Beverly Hills CA 90211-3106 | |
| (714) 000-0000 | |
| Not Available |
| Full Name | Beverly Hills Periodontal Arts & Implants |
|---|---|
| Speciality | Clinic/Center |
| Location | 8500 Wilshire Blvd Ste 819, Beverly Hills, California |
| Authorized Official Name and Position | Sam S Markzar (SOLE OWNER) |
| Authorized Official Contact | 3103607570 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beverly Hills Periodontal Arts & Implants 8500 Wilshire Blvd Ste 819 Beverly Hills CA 90211-3106 Ph: () - | Beverly Hills Periodontal Arts & Implants 8500 Wilshire Blvd Ste 819 Beverly Hills CA 90211-3106 Ph: (714) 000-0000 |
| NPI Number | 1225587876 |
|---|---|
| Provider Enumeration Date | 09/23/2016 |
| Last Update Date | 03/25/2024 |
| Medicare PECOS PAC ID | 5597032979 |
|---|---|
| Medicare Enrollment ID | O20170607000198 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225587876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Secondary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Sam S Markzar |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1891906624 PECOS PAC ID: 6406123884 Enrollment ID: I20170607000236 |
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