| 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 |