NPI | 1699892893 |
---|---|
Other Name | CURRENT BUSINESS NAME |
Entity Type | Organization |
Authorized Contact | SHAHRAM R NOURIAN Partner 310-766-4647 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 38742) |
Enumeration Date | 2007-03-23 |
Last Update Date | 2023-11-14 |