Organization
E. BENJI BEHROOZAN DDS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EHTERAM BENJI BEHROOZAN DDS (OWNER)
(310) 399-1100
Entity
Organization
Contact information
Practice address
2221 LINCOLN BLVD # 200, SANTA MONICA, CA 90405-1320
(310) 399-1100
(310) 664-8901
Mailing address
2221 LINCOLN BLVD # 200, SANTA MONICA, CA 90405-1320
(310) 399-1100
(310) 664-8901
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
31568
CA
Other
Enumeration date
09/16/2010
Last updated
09/16/2010
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