| NPI | 1346581410 |
|---|---|
| Doing Business As | WOODSIDE SPECIALTY DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD ALAVI Prosthodontist 310-713-9588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NY 055123) |
| Enumeration Date | 2013-03-14 |
| Last Update Date | 2013-03-14 |