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Organization
PICASSOSMILES
Active
Organization
PICASSOSMILES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NIMA E SHAYESTEH D.M.D. (PRESIDENT)
(310) 663-6989
Entity
Organization
Contact information
Practice address
8863 ALCOTT ST APT 1, LOS ANGELES, CA 90035-3368
(310) 663-6989
Mailing address
8863 ALCOTT ST APT 1, LOS ANGELES, CA 90035-3368
(310) 663-6989
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
24979
TX
Other
Enumeration date
05/21/2010
Last updated
05/21/2010
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