| NPI | 1982092086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NADINE SHASHATY Dentist 818-904-0008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 48016) |
| Enumeration Date | 2014-12-26 |
| Last Update Date | 2014-12-26 |