NPI | 1659820686 |
---|---|
Doing Business As | THE CULVER MARINA DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | PEGAH GHASSEMI BAKHTIARI Dr 818-632-5877 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 64404) |
Enumeration Date | 2016-10-03 |
Last Update Date | 2016-10-03 |