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Organization

SHAHRAM AMERIPOUR & RAMIN SHENEVAD A DENTAL CORP

Active
Other names
Santa Monica Dental ASSociates
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SHAHRAM AMERIPOUR SR. D.D.S (OWNER)
(310) 444-1818
Entity
Organization

Contact information

Practice address
11775 SANTA MONICA BLVD, LOS ANGELES, CA 90025-2843
(310) 444-1818
(310) 444-3196
Mailing address
11775 SANTA MONICA BLVD, LOS ANGELES, CA 90025-2843
(310) 444-1818
(310) 444-3196

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
48377
CA

Other

Enumeration date
05/03/2007
Last updated
07/22/2008
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