| NPI | 1336488220 |
|---|---|
| Doing Business As | BEHROUZ VAFAMANSOUSI, DDS INC |
| Entity Type | Organization |
| Authorized Contact | BEHROUZ VAFAMANSOURI Owner 310-201-9001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 52126) |
| Enumeration Date | 2013-02-12 |
| Last Update Date | 2013-02-12 |