| NPI | 1154628931 |
|---|---|
| Doing Business As | WILSHIRE SMILE STUDIO DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | IGAL ELYASSI Owner 323-937-5773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 54424) |
| Enumeration Date | 2011-02-14 |
| Last Update Date | 2011-02-14 |