SHAHRAM AMERIPOUR & RAMIN SHENEVAD A DENTAL CORP NPI 1568674596

NPI Information

SHAHRAM AMERIPOUR & RAMIN SHENEVAD A DENTAL CORP is a dental clinic center in Los Angeles, CA. SHAHRAM AMERIPOUR & RAMIN SHENEVAD A DENTAL CORP NPI is 1568674596. The provider is registered as an organization entity type.
The provider Is Doing Business As Santa Monica Dental Associates.

The provider's business location address is:

11775 SANTA MONICA BLVD
LOS ANGELES, CA
ZIP 90025-843
Phone: (310) 444-1818
Fax: (310) 444-3196

The provider's authorized official is Shahram Ameripour .
The authorized official title is Owner and has the following contact phone number (310) 444-1818.

The CLIA number assigned to this NPI record is 05D2061088 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/3/2007 and was last updated on 7/22/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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