NPI | 1811617087 |
---|---|
Other Name | LSS |
Doing Business As | LA SMILE SPECIALISTS |
Entity Type | Organization |
Authorized Contact | SHAWN DAVAIE MOTLAGH Owner/Partner 949-307-9144 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2022-08-30 |
Last Update Date | 2022-08-30 |