NPI | 1083421960 |
---|---|
Doing Business As | MID WILSHIRE DENTISTRY |
Entity Type | Organization |
Authorized Contact | HOMAN HANASAB Owner 310-892-6631 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2024-12-14 |
Last Update Date | 2024-12-14 |