Individual
DR. ALEXANDER A. FARNOOSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MSD, PHD
Contact information
Practice address
8920 WILSHIRE BLVD, SUITE #517, BEVERLY HILLS, CA 90211-2007
(310) 657-0503
(310) 657-9144
Mailing address
8920 WILSHIRE BLVD, SUITE #517, BEVERLY HILLS, CA 90211-2007
(310) 657-0503
(310) 657-9144
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
30960
CA
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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