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Individual

DR. BEHNAM BERNARD BASERI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
6221 WILSHIRE BLVD, 517, LOS ANGELES, CA 90048-5201
(323) 413-2903
(323) 879-6639
Mailing address
6221 WILSHIRE BLVD., 517, LOS ANGELES, CA 90048
(323) 413-2903
(323) 879-6639

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
62519
CA

Other

Enumeration date
08/19/2016
Last updated
08/19/2016
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