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Organization

KOUROSH MICHAEL BERAL DDS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KOUROSH MICHAEL BERAL DDS (PRESIDENT)
(310) 666-5453
Entity
Organization

Contact information

Practice address
808 W 58TH ST, LOS ANGELES, CA 90037-3632
(323) 541-1600
Mailing address
808 W 58TH ST, LOS ANGELES, CA 90037-3632
(323) 541-1600

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
46749
CA

Other

Enumeration date
04/19/2007
Last updated
08/22/2016
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