Organization
DAVID DAVOODPOUR D.D.S, A PROFESSIONAL DENTAL CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID DAVOODPOUR D.D.S. (PRESIDENT)
(310) 477-4214
Entity
Organization
Contact information
Practice address
11859 WILSHIRE BLVD STE 660, LOS ANGELES, CA 90025-6621
(310) 477-4214
Mailing address
328 S ALMONT DR, BEVERLY HILLS, CA 90211-3548
(310) 777-0071
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
49297
CA
Other
Enumeration date
01/08/2007
Last updated
08/22/2020
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