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Dr. John Benlavi, DDS

Dentist, General Practice in Inglewood, CA. Individual provider (NPI-1).

NPI number1285642173
StatusActive
Last updated in NPPESMay 19, 2021

Details

NPI
1285642173
Entity type
Individual (NPI-1)
Name
Dr. John Benlavi
Credential
DDS
Sex
Male
Sole proprietor
No
Enumeration date
Aug 4, 2006
Certification date
May 19, 2021
Last updated
May 19, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice42276CAYes
122300000X Dentist42276CA

Practice location

2646 W Imperial Hwy
Inglewood, CA 90303-3137

Phone 323-418-8888 · Fax 323-777-2211

Mailing address

2646 W Imperial Hwy
Inglewood, CA 90303-3137

Phone 323-418-8888 · Fax 323-777-2211

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