Organization
BINA, KOROURI, SAGE DENTAL CORPORATION
Active
Other names
PHD Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PEDRAM BINA DDS (CEO)
(310) 433-2722
Entity
Organization
Contact information
Practice address
3737 MARTIN LUTHER KING JR BLVD STE 106, LYNWOOD, CA 90262-3524
(310) 631-1111
Mailing address
3737 MARTIN LUTHER KING JR BLVD, 106, LYNWOOD, CA 90262-3513
(323) 266-5737
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/02/2012
Last updated
06/09/2023
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