| NPI | 1700367596 |
|---|---|
| Doing Business As | OCEANBREEZE DENTAL |
| Entity Type | Organization |
| Authorized Contact | VADIM KONVISER CEO 310-578-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: 51095) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 51095) |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2018-08-28 |