# ROUZITA RASHTIAN DDS A PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SERENITY DENTAL CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861273161
- **Authorized official:** ROUZITA RASHTIAN DDS (DOCTOR/AUTHORIZED OFFICIAL)
- **Authorized official phone:** (310) 622-1617

## Contact information

- **Practice address:** 12301 WILSHIRE BLVD STE 204, LOS ANGELES, CA 90025-1241
- **Practice address phone:** (310) 622-1617
- **Mailing address:** 12301 WILSHIRE BLVD STE 204, LOS ANGELES, CA 90025-1241
- **Mailing address phone:** (310) 622-1617

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |
| 261QD0000X | Dental Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 10/12/2023
- **Last updated:** 10/12/2023
