| NPI | 1700208261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOMAN SHAMOEIL President 818-332-6292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 59652) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 58627) |
| Enumeration Date | 2014-01-17 |
| Last Update Date | 2014-01-17 |