| NPI | 1528952819 |
|---|---|
| Doing Business As | SIMPLE DENTAL VERMONT |
| Entity Type | Organization |
| Authorized Contact | KOUROSH KEIHANI Owner/Dentist 310-562-2047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2025-06-03 |
| Last Update Date | 2025-09-04 |