Organization
DAN BEROUKHIM DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAN BEROUKHIM DDS (OWNER DENTIST)
(310) 498-5682
Entity
Organization
Contact information
Practice address
5432 SEPULVEDA BLVD STE A, CULVER CITY, CA 90230-5512
(310) 498-5682
Mailing address
2010 S BEVERLY GLEN BLVD UNIT 201, LOS ANGELES, CA 90025-5179
(310) 498-5682
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/29/2019
Last updated
05/29/2019
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