NPI | 1871269753 |
---|---|
Entity Type | Organization |
Authorized Contact | SHIVA GHAHREMANI Owner Dentist 310-441-8888 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 122300000X Dentist |
Enumeration Date | 2021-08-19 |
Last Update Date | 2021-08-19 |