Individual
BENJAMIN POURMORADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
144 N WILLAMAN DR, BEVERLY HILLS, CA 90211-2113
(310) 801-5828
Mailing address
144 N WILLAMAN DR, BEVERLY HILLS, CA 90211-2113
(310) 801-5828
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
100433
CA
1223G0001X
General Practice Dentistry
Primary
100433
CA
Other
Enumeration date
08/05/2016
Last updated
08/05/2016
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