| NPI | 1356963318 |
|---|---|
| Doing Business As | SIGNATURE SMILES OF LA |
| Entity Type | Organization |
| Authorized Contact | SHEILA MAHOOTI Dentist 818-600-1884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-05-13 |
| Last Update Date | 2020-05-13 |