Provider Demographics
NPI:1578775623
Name:PEIMAN SOLEYMANI DDS INC
Entity Type:Organization
Organization Name:PEIMAN SOLEYMANI DDS INC
Other - Org Name:BEVERLY HILLS PERIODONTICS & DENTAL IMPLANT CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PEIMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SOLEYMANI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:310-422-5205
Mailing Address - Street 1:416 N BEDFORD DR
Mailing Address - Street 2:SUITE 209
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210
Mailing Address - Country:US
Mailing Address - Phone:310-275-4606
Mailing Address - Fax:310-623-9106
Practice Address - Street 1:416 N BEDFORD DR
Practice Address - Street 2:SUITE 209
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210
Practice Address - Country:US
Practice Address - Phone:310-275-4606
Practice Address - Fax:310-623-9106
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2013-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA44444122300000X
1223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Multi-Specialty
No122300000XDental ProvidersDentistGroup - Multi-Specialty