| NPI | 1104360882 |
|---|---|
| Doing Business As | PURE DENTISTRY KIDS & ADULTS |
| Entity Type | Organization |
| Authorized Contact | SHAHAB EBRAHIMIAN Owner Doctor 818-385-1999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 44473) |
| Enumeration Date | 2016-12-14 |
| Last Update Date | 2020-02-25 |