Healthcare Provider Details
I. General information
NPI: 1285051821
Provider Name (Legal Business Name): RIMAN DENTAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/20/2014
Last Update Date: 09/24/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9735 WILSHIRE BLVD SUITE 325
BEVERLY HILLS CA
90212-2107
US
IV. Provider business mailing address
9735 WILSHIRE BLVD SUITE 325
BEVERLY HILLS CA
90212-2107
US
V. Phone/Fax
- Phone: 310-271-1337
- Fax:
- Phone: 310-271-1337
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 122300000X |
| Taxonomy | Dentist |
| License Number | 62944 |
| License Number State | CA |
VIII. Authorized Official
Name:
RAWAD
RIMAN
Title or Position: PRESIDENT
Credential: D.M.D
Phone: 310-271-1337