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 |