NPI | 1952678922 |
---|---|
Doing Business As | ENCINO BRIGHT SMILES DENTAL GROUP, POUYAN & KHANIDEH DENTAL CORP |
Entity Type | Organization |
Authorized Contact | MEHRA POUYAN Owner 310-893-9710 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 54825) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 54944) |
Enumeration Date | 2011-11-18 |
Last Update Date | 2014-07-03 |