Provider Demographics
NPI:1528378023
Name:BENYAMINY, DANI (DDS)
Entity Type:Individual
Prefix:DR
First Name:DANI
Middle Name:
Last Name:BENYAMINY
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 1:10701 WILSHIRE BLVD
Mailing Address - Street 2:SUITE 705
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90024-4401
Mailing Address - Country:US
Mailing Address - Phone:310-666-6511
Mailing Address - Fax:
Practice Address - Street 1:11860 WILSHIRE BLVD
Practice Address - Street 2:SUITE 301
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-6613
Practice Address - Country:US
Practice Address - Phone:310-910-9950
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-18
Last Update Date:2013-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA59912122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist