Organization
DANESH DENTAL CORP.
Active
Other names
Elite Dental and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEHZAD DANESH-PANAHI DDS (CEO /PRESIDENT)
(818) 497-7170
Entity
Organization
Contact information
Practice address
8930 S SEPULVEDA BLVD STE 117, LOS ANGELES, CA 90045-3606
(310) 641-8890
(310) 641-8859
Mailing address
8930 S SEPULVEDA BLVD STE 117, LOS ANGELES, CA 90045-3606
(310) 641-8890
(310) 641-8859
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223D0004X
Dental Anesthesiology
—
—
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
1223P0300X
Periodontics
—
—
1223P0700X
Prosthodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
1223X2210X
Orofacial Pain Dentistry
—
—
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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