Organization
BENJAMIN POURMORADY DDS A PROFESSIONAL CORPORATION INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN POURMORADY DDS (OWNER)
(310) 801-5828
Entity
Organization
Contact information
Practice address
6200 WILSHIRE BLVD STE 1109, LOS ANGELES, CA 90048-5812
(323) 238-8114
(323) 933-3268
Mailing address
144 N WILLAMAN DR, BEVERLY HILLS, CA 90211-2113
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/10/2021
Last updated
11/10/2021
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