| NPI | 1053607796 |
|---|---|
| Doing Business As | PICASSO SMILES |
| Entity Type | Organization |
| Authorized Contact | TAMIR SHAMS Secretary 310-663-4323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 26280) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 24979) |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2011-06-21 |