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Organization
AAA DENTISTRY @ IMPERIAL CRENSHAW DENTAL CENTER
Active
Organization
AAA DENTISTRY @ IMPERIAL CRENSHAW DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN BENLAVI D.D.S. (DENTIST / OWNER)
(323) 418-8888
Entity
Organization
Contact information
Practice address
2798 W IMPERIAL HWY, INGLEWOOD, CA 90303-3111
(323) 777-2211
Mailing address
2798 W IMPERIAL HWY, INGLEWOOD, CA 90303-3111
(323) 777-2211
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
42276
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1234012267
—
CA
05
—
1234542276
—
CA
Enumeration date
03/21/2011
Last updated
05/19/2021
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