| NPI | 1730367004 |
|---|---|
| Doing Business As | HEAVENLY DENTAL |
| Entity Type | Organization |
| Authorized Contact | SHAHRIAR SEAN NAFFAS Owner 818-837-9744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 52651) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: CA 48660) |
| Enumeration Date | 2008-02-08 |
| Last Update Date | 2008-02-08 |