NPI | 1427690825 |
---|---|
Doing Business As | PEDRAM SOOFERI DDS, INC |
Entity Type | Organization |
Authorized Contact | PEDRAM EIN SOOFERI CEO 310-645-6033 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2019-10-17 |
Last Update Date | 2019-10-17 |