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Organization
VERSHININ DENTAL CORPORATION
Active
Organization
VERSHININ DENTAL CORPORATION
Active
Other names
Beverly Hills Biodental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GOAR VERSHININA DDS (DENTIST/OWNER)
(310) 990-5787
Entity
Organization
Contact information
Practice address
416 N BEDFORD DR STE 103, BEVERLY HILLS, CA 90210-4308
(310) 990-5787
(424) 302-0080
Mailing address
416 N BEDFORD DR STE 103, BEVERLY HILLS, CA 90210-4308
(310) 990-5787
(424) 302-0099
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DDS100895
CA
1223G0001X
General Practice Dentistry
DDS100895
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
E3026942
—
CA
05
—
F1547663
—
CA
Enumeration date
03/29/2018
Last updated
06/16/2018
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