# BEVERLY DENTAL DRIVE CARE

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

## Provider details

- **NPI number:** 1265721138
- **Authorized official:** DR. BABAK BOBBY IRANI DDS (PRESIDENT)
- **Authorized official phone:** (310) 277-7645

## Contact information

- **Practice address:** 1125 S BEVERLY DR, STE \# 750B, LOS ANGELES, CA 90035-1148
- **Practice address phone:** (310) 277-7645
- **Mailing address:** 1125 S BEVERLY DR STE 750B, LOS ANGELES, CA 90035-1130
- **Mailing address phone:** (310) 277-7645

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 48466 | CA | Yes |

## Other

- **Enumeration date:** 03/31/2011
- **Last updated:** 03/31/2011