NPI | 1447094479 |
---|---|
Former Legal Business Name | DR. JOSHUA SHAYEFAR |
Entity Type | Organization |
Authorized Contact | JOSHUA BEHNAM SHAYEFAR Owner 310-895-8362 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2024-06-24 |
Last Update Date | 2024-06-24 |