| NPI | 1659964872 |
|---|---|
| Doing Business As | FASHION ISLAND ORAL SURGERY AND IMPLANTS |
| Entity Type | Organization |
| Authorized Contact | SOLOMON POYOUROW Owner 310-279-0993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2021-02-18 |
| Last Update Date | 2021-02-18 |