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Individual

BENJAMIN PAYAM SIONAT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
150 BRONWOOD AVE, LOS ANGELES, CA 90049-3102
(310) 709-1045
Mailing address
150 BRONWOOD AVE, LOS ANGELES, CA 90049-3102
(310) 709-1045

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
63814
CA

Other

Enumeration date
08/06/2014
Last updated
07/18/2019
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