NPI | 1568674596 |
---|---|
Doing Business As | SANTA MONICA DENTAL ASSOCIATES |
Entity Type | Organization |
Authorized Contact | SHAHRAM AMERIPOUR Owner 310-444-1818 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 48377) |
Enumeration Date | 2007-05-03 |
Last Update Date | 2008-07-22 |