| NPI | 1447479555 |
|---|---|
| Doing Business As | ELEGANT SMILES DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | FARSHAD MOFTAKHAR Owner CEO 626-246-0150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2008-07-15 |