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Organization
BEVERLY HILLS SURGERY & AESTHETIC CENTRE INC.
Active
Organization
BEVERLY HILLS SURGERY & AESTHETIC CENTRE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANTE BANTA M.D. (MEDICAL DIRECTOR)
(310) 855-9466
Entity
Organization
Contact information
Practice address
50 N LA CIENEGA BLVD, SUITE 110, BEVERLY HILLS, CA 90211-2227
(310) 855-9466
Mailing address
50 N LA CIENEGA BLVD, SUITE 110, BEVERLY HILLS, CA 90211-2227
(310) 855-9466
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/27/2010
Last updated
05/25/2011
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