Organization · Type 2 NPI

Kourosh Michael Beral DDS Inc

Dental Clinic/Center · Los Angeles, CA

NPI number 1679790638 Active

Practice location

808 W 58th St
Los Angeles, CA 90037-3632

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000X46749 (CA)

Dental Clinic/Center: Definition to come...

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About NPI 1679790638

Kourosh Michael Beral DDS Inc's National Provider Identifier is 1679790638, issued on Apr 19, 2007. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Los Angeles, CA. The record was last updated on Aug 22, 2016.