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NPI Code Detail

MEDICARE: DR. BORZOO AHMADI D.D.S

MEDICARE:  DR. BORZOO  AHMADI  D.D.S
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist61761CA
21223G0001XGeneral Practice Dentistry61761CA

General Provider Information

NPI Number : 1356687305
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BORZOO AHMADI D.D.S
Provider Business Mailing Address
First Line : 9201 W SUNSET BLVD STE 710
Second Line :
City : BEVELY HILLS
State : CA
Zip : 90069-3708
Country : US
Telephone Number : 310-993-8847
Fax Number :
Provider Business Practice Location Address
First Line : 9201 W SUNSET BLVD STE 710
Second Line :
City : BEVELY HILLS
State : CA
Zip : 90069-3708
Country : US
Telephone Number : 310-562-4746
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2012
Last Update Date : 02/13/2018

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Directions to “ DR. BORZOO AHMADI D.D.S” Practice Location

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