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Organization
PRESTIGE DENTAL SPA OF BEVERLY HILLS
Active
Organization
PRESTIGE DENTAL SPA OF BEVERLY HILLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL OMID COHANIM (DOCTOR)
(310) 288-2121
Entity
Organization
Contact information
Practice address
9150 WILSHIRE BLVD STE 242, BEVERLY HILLS, CA 90212-3429
(310) 288-2121
Mailing address
9150 WILSHIRE BLVD STE 242, BEVERLY HILLS, CA 90212-3429
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
41908
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41908
MEDICAL, DENTICAL, METDENTAL, AETNA, AMERITAS, ANTHEM BLUE CROSS, ASSURANT HEALT
CA
Enumeration date
08/22/2016
Last updated
08/22/2016
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