Individual
BAHRAM HANNANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1155 N VERMONT AVE, LOS ANGELES, CA 90029-1728
(323) 660-8111
Mailing address
454 S WETHERLY DR, BEVERLY HILLS, CA 90211-3520
(310) 666-1746
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
31277
CA
Other
Enumeration date
12/04/2006
Last updated
03/08/2010
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