| NPI | 1477932465 |
|---|---|
| Doing Business As | BUENA PARK SMILE DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | SHAWN RABIZADEH Pres 818-370-6466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 46324) |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2015-05-26 |