# PEDRAM FAKHERI DMD INC

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

## Provider details

- **NPI number:** 1427527829
- **Authorized official:** DR. PEDRAM FAKHERI DMD (PRESIDENT)
- **Authorized official phone:** (310) 497-7560

## Contact information

- **Practice address:** 1125 S BEVERLY DR STE 400, LOS ANGELES, CA 90035-1152
- **Practice address phone:** (310) 458-4867
- **Mailing address:** 1125 S BEVERLY DR STE 400, LOS ANGELES, CA 90035-1152

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 11/15/2018
- **Last updated:** 11/15/2018