| NPI | 1295990919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMIN SHENAVAD Owner Dentist 323-278-0170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 48377) |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2008-07-22 |