# E. BENJI BEHROOZAN DDS INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003124702
- **Authorized official:** DR. EHTERAM BENJI BEHROOZAN DDS (OWNER)
- **Authorized official phone:** (310) 399-1100

## Contact information

- **Practice address:** 2221 LINCOLN BLVD \# 200, SANTA MONICA, CA 90405-1320
- **Practice address phone:** (310) 399-1100
- **Practice address fax:** (310) 664-8901
- **Mailing address:** 2221 LINCOLN BLVD \# 200, SANTA MONICA, CA 90405-1320
- **Mailing address phone:** (310) 399-1100
- **Mailing address fax:** (310) 664-8901

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 31568 | CA | Yes |

## Other

- **Enumeration date:** 09/16/2010
- **Last updated:** 09/16/2010