NPI | 1598136889 |
---|---|
Doing Business As | DREAMLAND DENTAL AND ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | PEJMAN NASIBI CEO 310-922-0221 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry |
Additional Taxonomies | 122300000X Dentist (Licence: CA 57456) |
1223E0200X Dentist Endodontics | |
1223P0106X Dentist Oral and Maxillofacial Pathology | |
1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: CA 60575) | |
Enumeration Date | 2015-10-13 |
Last Update Date | 2021-11-08 |