Organization
INFINITE DENTAL ALLIANCE, INC
Active
Other names
Lasting Smiles Dental Implant Center
Organization subpart
No
Provider details
NPI number
Authorized official
SHARAM GHODSI DDS (PRESIDENT/DENTIST)
(702) 809-3762
Entity
Organization
Contact information
Practice address
470 N LOS ROBLES AVE, PASADENA, CA 91101-1302
(626) 325-6000
(626) 598-3100
Mailing address
470 N LOS ROBLES AVE, PASADENA, CA 91101-1302
(626) 325-6000
(626) 598-3100
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/24/2025
Last updated
01/24/2025
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