Organization
FRED MONEMPOUR,DDS,PROF CORP.
Active
Other names
Jeff S. Berlin, DDS
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LYN ROSARIO (ADMINISTRATOR)
(310) 278-5993
Entity
Organization
Contact information
Practice address
435 N BEDFORD DR, SUITE 416, BEVERLY HILLS, CA 90210-4321
(310) 278-5993
Mailing address
435 N BEDFORD DR, SUITE 416, BEVERLY HILLS, CA 90210-4321
(310) 278-5993
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
46299
CA
Other
Enumeration date
04/13/2007
Last updated
08/22/2020
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