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 |