Individual
DR. PHILLIP DANESHGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
506 LENOX AVE, NEW YORK, NY 10037-1802
(212) 939-1000
Mailing address
717 N ELM DR, BEVERLY HILLS, CA 90210-3422
(310) 429-9685
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D7692966
CA
Other
Enumeration date
06/02/2017
Last updated
06/02/2017
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