Organization
BEDFORD DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL NAYSAN DDS (DENTIST/OWNER)
(310) 278-0600
Entity
Organization
Contact information
Practice address
436 N BEDFORD DR STE 300, BEVERLY HILLS, CA 90210-4320
(310) 278-0600
Mailing address
PO BOX 17099, BEVERLY HILLS, CA 90209-3099
(310) 278-0600
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
54639
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558419929
ALL INSURANCE COMPANIES
CA
Enumeration date
12/29/2014
Last updated
12/29/2014
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