Goar Vershinina
Dentist in Beverly Hills, CA. Individual provider (NPI-1).
NPI number1235643115
StatusActive
Last updated in NPPESNov 29, 2017
Details
- NPI
- 1235643115
- Entity type
- Individual (NPI-1)
- Name
- Goar Vershinina
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 29, 2017
- Last updated
- Nov 29, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | DDS100895 | CA | Yes |
Practice location
416 N Bedford Dr Ste 103Beverly Hills, CA 90210-4308
Phone 818-585-8023
Mailing address
1421 Ambassador St Apt 202Los Angeles, CA 90035-2834
Phone 818-585-8023
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