| NPI | 1932667631 |
|---|---|
| Doing Business As | BAMSHAD DENTAL CORPORATION |
| Entity Type | Organization |
| Authorized Contact | KEYVAN BAMSHAD Owner/ Dentist 818-345-6477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2019-03-12 |
| Last Update Date | 2019-03-12 |