| NPI | 1518122498 |
|---|---|
| Doing Business As | BEACHSIDE DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | MOHDSAMEER Y AL-JANEDI Owner 310-386-8188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 41577) |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2019-06-13 |