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Individual

MICHAEL PEDRAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS, MD

Contact information

Practice address
5363 BALBOA BLVD STE 233, ENCINO, CA 91316-2824
(818) 788-4424
Mailing address
1560 LOMA VISTA DR, BEVERLY HILLS, CA 90210-1939
(310) 612-4365

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
104435
CA

Other

Enumeration date
09/18/2019
Last updated
07/28/2025
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