| NPI | 1972751402 |
|---|---|
| Former Legal Business Name | AWWAD HUSEIN KHASATI SEMRIEN DDS INC |
| Entity Type | Organization |
| Authorized Contact | SHADI KAMEL KHASATI Partner In The Corporate 909-213-5196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2008-09-09 |