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Dr. Diana Broumandi, DDS
General Practice Dentistry in Los Angeles, California
NPI 1194931618

Diana Broumandi is a General Practice Dentistry based in Los Angeles, CA and is specialized in General Practice. Diana Broumandi practices in Los Angeles, CA and has the professional credentials of DDS. The NPI Number for Diana Broumandi is 1194931618 and holds a License No. 47046 (California).

The current practice location address for Diana Broumandi is 11645 Wilshire Blvd., Los Angeles, CA and can be reached out via phone at 310-696-0100 and via fax at 310-395-2288.

Location: 11645 Wilshire Blvd., Los Angeles, CA, 90025
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194931618
Provider Name
Diana Broumandi
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
11645 Wilshire Blvd., Los Angeles, CA, 90025
Phone Number
310-696-0100
Fax Number
310-395-2288
Provider Enumeration Date
05/14/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11645 Wilshire Blvd.
City
Los Angeles
State
California
Zip
90025
Phone Number
310-696-0100
Fax Number
310-395-2288
person
Provider Business Mailing Address Details
Address
11645 Wilshire Blvd.
City
Los Angeles
State
California
Zip
90025
Phone Number
310-696-0100
Fax Number
310-395-2288
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
47046 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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