| NPI | 1144872748 |
|---|---|
| Doing Business As | OMNI DENTAL SPECIALTY CENTER |
| Entity Type | Organization |
| Authorized Contact | KOUROSH KEIHANI Owner 310-562-2046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2020-05-26 |