NPI | 1447462114 |
---|---|
Doing Business As | WHITTIER DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | SHAHRAM R NOURIAN Owner, Dentist 562-693-8202 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 32373) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 35051) |
1223G0001X Dentist, General Practice (Licence: CA 49284) | |
1223P0300X Dentist, Periodontics (Licence: CA 50121) | |
1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA OMS 62) | |
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 20382) | |
Enumeration Date | 2007-05-04 |
Last Update Date | 2020-08-22 |