| NPI | 1134672421 |
|---|---|
| Doing Business As | PICASSO SMILES DENTAL COSMETIC & IMPLANT CENTER |
| Entity Type | Organization |
| Authorized Contact | NIMA SHAYESTEH Owner/Dentist 310-663-6989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 57035) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 56712) |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2016-08-03 |