NPI | 1659309300 |
---|---|
Former Legal Business Name | H REZA SHAHMOHAMMADI A DENTAL CORPORATION |
Entity Type | Organization |
Authorized Contact | HAMID REZA REZA Owner. 818-701-6667 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 41307) |
Enumeration Date | 2006-06-30 |
Last Update Date | 2021-10-22 |