E. Benji Behroozan DDS Inc.

NPI #1003124702 in Santa Monica, California

Provider Information

NPI Number: 1003124702
Entity Type: Organization
Organization Name: E. Benji Behroozan DDS Inc.
Primary Specialty: Dentist
Enumeration Date: Sep 16, 2010
Last Updated: Sep 16, 2010

Practice Location

Address: 2221 LINCOLN BLVD # 200
City: Santa Monica
State: California
ZIP Code: 90405-1320
Phone: (310) 399-1100

Authorized Official

Name: DR. EHTERAM BENJI BEHROOZAN, DDS
Title: OWNER
Phone: (310) 399-1100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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