Organization
LA DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHIRIN A. ROWHANI D.D.S. (DENTIST/ OWNER)
(310) 349-1980
Entity
Organization
Contact information
Practice address
12820 INGLEWOOD AVE, HAWTHORNE, CA 90250-5118
(310) 349-1980
(310) 349-1984
Mailing address
12820 INGLEWOOD AVE, HAWTHORNE, CA 90250-5118
(310) 349-1980
(310) 349-1984
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
43490
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B43490
MEDICAL
CA
Enumeration date
09/22/2014
Last updated
09/22/2014
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