Provider Demographics
NPI:1265504344
Name:EBEN AND HAKIMI DENTAL INC
Entity Type:Organization
Organization Name:EBEN AND HAKIMI DENTAL INC
Other - Org Name:WESTLAKE SMILE DESIGN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARMON
Authorized Official - Middle Name:
Authorized Official - Last Name:EBEN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:805-497-9585
Mailing Address - Street 1:911 HAMPSHIRE RD STE 7
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91361-2838
Mailing Address - Country:US
Mailing Address - Phone:805-497-9585
Mailing Address - Fax:805-497-8185
Practice Address - Street 1:911 HAMPSHIRE RD STE 7
Practice Address - Street 2:
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91361-2838
Practice Address - Country:US
Practice Address - Phone:805-497-9585
Practice Address - Fax:805-497-8185
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA500311223G0001X
CA498971223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty