| NPI | 1811181977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMIN SHABTAIE Owner/President 310-208-3471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 43561) |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2007-08-31 |