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 |