NPI | 1003191123 |
---|---|
Doing Business As | AESTHETICA DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | SOHEIL VAHEDI Owner 310-775-5225 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 54735) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 54539) |
Enumeration Date | 2011-10-20 |
Last Update Date | 2021-08-24 |