NPI | 1629260138 |
---|---|
Former Legal Business Name | SHAHRAM AMERIPOUR DDS |
Entity Type | Organization |
Authorized Contact | SHAHRAM AMERIPOUR Owner 818-203-4272 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2007-08-17 |
Last Update Date | 2022-09-30 |