NPI | 1275249138 |
---|---|
Doing Business As | BAHAREH GOSHAYESHI DDS INC |
Entity Type | Organization |
Authorized Contact | BAHAREH GOSHAYESHI Owner Dentist 310-706-8566 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2023-01-25 |
Last Update Date | 2023-01-25 |