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Organization

BEVERLY DENTAL DRIVE CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BABAK BOBBY IRANI DDS (PRESIDENT)
(310) 277-7645
Entity
Organization

Contact information

Practice address
1125 S BEVERLY DR, STE # 750B, LOS ANGELES, CA 90035-1148
(310) 277-7645
Mailing address
1125 S BEVERLY DR STE 750B, LOS ANGELES, CA 90035-1130
(310) 277-7645

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
48466
CA

Other

Enumeration date
03/31/2011
Last updated
03/31/2011
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