| NPI | 1861907966 |
|---|---|
| Doing Business As | HOLLYWOOD SMILE |
| Entity Type | Organization |
| Authorized Contact | NADIA E. TAHERI Dentist 818-999-3805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 10045) |
| Enumeration Date | 2017-12-11 |
| Last Update Date | 2023-03-07 |