NPI | 1790578193 |
---|---|
Doing Business As | OPEN DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | MEHRAN EVINI Dentist 310-866-0203 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2025-05-28 |
Last Update Date | 2025-05-28 |