| NPI | 1639869993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA SHAHINIAN Owner Dentist 323-825-8558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| 122300000X Dentist | |
| Enumeration Date | 2023-05-10 |
| Last Update Date | 2023-05-10 |