MEDICARE: DR. DENNIS DASS M.D.

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
1	2086S0122X	Plastic and Reconstructive Surgery Physician	A117015	CA

General Provider Information

NPI Number	:	1346371929
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DENNIS DASS M.D.

Provider Business Mailing Address
First Line	:	8929 WILSHIRE BLVD STE 420
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90211-1953
Country	:	US
Telephone Number	:	855-496-4646
Fax Number	:

Provider Business Practice Location Address
First Line	:	8929 WILSHIRE BLVD STE 420
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90211-1953
Country	:	US
Telephone Number	:	855-496-4646
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/08/2007
Last Update Date	:	03/25/2019

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