| NPI | 1215626882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARIAR SHAUN DANESHGAR Owner 323-653-9440 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2023-05-01 |