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Organization
SHAYESTEH & SHAMS CULVER CITY DENTAL CORPORATION
Active
Organization
SHAYESTEH & SHAMS CULVER CITY DENTAL CORPORATION
Active
Other names
Picasso Smiles Dental Cosmetic & Implant Center
Organization subpart
No
Provider details
NPI number
Authorized official
NIMA SHAYESTEH D.M.D. (OWNER/DENTIST)
(310) 663-6989
Entity
Organization
Contact information
Practice address
10842 WASHINGTON BLVD, CULVER CITY, CA 90232-3610
(310) 663-6989
(915) 857-6456
Mailing address
10842 WASHINGTON BLVD, CULVER CITY, CA 90232-3610
(310) 663-6989
(915) 857-6456
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
56712
CA
1223G0001X
General Practice Dentistry
Primary
57035
CA
Other
Enumeration date
08/03/2016
Last updated
08/03/2016
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