Benji Behroozan, Ehteram
Benji Behroozan, Ehteram is an sole proprietor health care provider with primary practice located at 2221 Lincoln Blvd #200, Santa Monica CA 90405-1320. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Benji Behroozan, Ehteram can be contacted via phone (310) 399-1100.Contact Information
Primary practice address
2221 Lincoln Blvd #200
Santa Monica CA 90405-1320
Phone: (310) 399-1100
Fax: (310) 664-8901
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 31568 | California |
Profile Details
| NPI number | 1336291517 |
|---|---|
| LBN Legal business name | Benji Behroozan, Ehteram |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 17th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336291517 | NPPES |
| California | Other | D31568 | DENTAL PROVIDER NUMBER WI |
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