| Santa Monica Dental Associates | |
|
11775 Santa Monica Blvd Los Angeles CA 90025-2843 | |
| (310) 444-1818 | |
| (310) 444-3196 |
| Full Name | Santa Monica Dental Associates |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 11775 Santa Monica Blvd, Los Angeles, California |
| Authorized Official Name and Position | Shahram Ameripour (OWNER) |
| Authorized Official Contact | 3104441818 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Santa Monica Dental Associates 11775 Santa Monica Blvd Los Angeles CA 90025-2843 Ph: (310) 444-1818 | Santa Monica Dental Associates 11775 Santa Monica Blvd Los Angeles CA 90025-2843 Ph: (310) 444-1818 |
| NPI Number | 1568674596 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 07/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568674596 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 48377 (California) | Primary |
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