| NPI | 1275038382 |
|---|---|
| Doing Business As | BEVERLY HILLS BIODENTAL |
| Entity Type | Organization |
| Authorized Contact | GOAR VERSHININA Dentist/Owner 310-990-5787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA DDS100895) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA DDS100895) |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2018-06-16 |