# AAA DENTISTRY @ IMPERIAL CRENSHAW DENTAL CENTER

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

## Provider details

- **NPI number:** 1326347063
- **Authorized official:** MR. JOHN BENLAVI D.D.S. (DENTIST / OWNER)
- **Authorized official phone:** (323) 418-8888

## Contact information

- **Practice address:** 2798 W IMPERIAL HWY, INGLEWOOD, CA 90303-3111
- **Practice address phone:** (323) 777-2211
- **Mailing address:** 2798 W IMPERIAL HWY, INGLEWOOD, CA 90303-3111
- **Mailing address phone:** (323) 777-2211

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 42276 | CA | Yes |

## Other

- **Enumeration date:** 03/21/2011
- **Last updated:** 05/19/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1234012267 | — | CA |
| 05 | — | 1234542276 | — | CA |