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Organization
BEAUTIFUL SMILE FAMILY DENTISTRY
Active
Organization
BEAUTIFUL SMILE FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEHDAD OMRANI D.D.S. (DENTIST / PRESIDENT)
(310) 644-2310
Entity
Organization
Contact information
Practice address
13637 HAWTHORNE BLVD, SUITE 101, HAWTHORNE, CA 90250-5812
(310) 644-2310
(310) 644-2538
Mailing address
13637 HAWTHORNE BLVD, SUITE 101, HAWTHORNE, CA 90250-5812
(310) 644-2310
(310) 644-2538
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
52443
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G89739/01
DENTACAL
CA
Enumeration date
01/03/2008
Last updated
01/03/2008
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