Provider Demographics
NPI:1285002345
Name:BESHAI, RAMI (DDS)
Entity Type:Individual
Prefix:DR
First Name:RAMI
Middle Name:
Last Name:BESHAI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10645 WESTERN AVE
Mailing Address - Street 2:APT D
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90241-3466
Mailing Address - Country:US
Mailing Address - Phone:310-403-8066
Mailing Address - Fax:
Practice Address - Street 1:300 E BUCKTHORN ST
Practice Address - Street 2:
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90301-3418
Practice Address - Country:US
Practice Address - Phone:310-419-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-07
Last Update Date:2016-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA64972122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist