Provider Demographics
NPI:1174780449
Name:WOSS, BEVERLY ANN (DDS)
Entity type:Individual
Prefix:DR
First Name:BEVERLY
Middle Name:ANN
Last Name:WOSS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:9401 WILSHIRE BLVD
Mailing Address - Street 2:1140
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212-2928
Mailing Address - Country:US
Mailing Address - Phone:310-275-5504
Mailing Address - Fax:310-275-5506
Practice Address - Street 1:9401 WILSHIRE BLVD
Practice Address - Street 2:1140
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212-2928
Practice Address - Country:US
Practice Address - Phone:310-275-5504
Practice Address - Fax:310-275-5506
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-22
Last Update Date:2016-03-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA38149122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist