| NPI | 1861890451 |
|---|---|
| Doing Business As | TARZANA SMILE CENTER |
| Entity Type | Organization |
| Authorized Contact | AMIR JANNATI Manager 818-578-8665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 53244) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 62971) |
| 122300000X Dentist (Licence: CA 59605) | |
| 122300000X Dentist (Licence: CA 61819) | |
| 122300000X Dentist | |
| 1223E0200X Dentist, Endodontics (Licence: CA 56385) | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 51518) | |
| Enumeration Date | 2014-12-12 |
| Last Update Date | 2014-12-12 |