| NPI | 1215605845 |
|---|---|
| Doing Business As | DENTAL COMMUNITY CLINIC |
| Entity Type | Organization |
| Authorized Contact | MICHAEL DANESHGAR Manager 323-835-6123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-08-30 |
| Last Update Date | 2021-08-30 |