Most Relevant Information
Provider Data
| NPI Number: | 1003182619 |
| Provider Name: | LEYLI DEHGHAN SHIRAZI DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 51334 |
Most Important Dates
| Enumeration Date: | 03/28/2012 |
| Last Updated: | 03/28/2012 |
Provider Practice Location
436 N ROXBURY DR STE 109
BEVERLY HILLS
CA
902105016
Practice Location Phone/Fax
| Phone: | 3103851311 |
| Fax: | 3103851377 |
Provider Mailing Location
436 N ROXBURY DR STE 109
BEVERLY HILLS
CA
902105016
Provider Mailing Phone/Fax
| Phone: | 3103851311 |
| Fax: | 3103851377 |