NPI: 1740682178 · REDONDO BEACH, CA 90278 · Dentist · NPI assigned 09/17/2014
| Authorized Official | RASTEGAR-PANAH, ARASH (OWNER/DENTIST) |
| NPI Enumeration Date | 09/17/2014 |
Other providers sharing the same authorized official: RASTEGAR-PANAH, ARASH
| Provider | City | State | Total Paid |
|---|---|---|---|
| TRI-CITY DENTAL EXCELLENCE | VISTA | CA | $3K |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 46 | $3K |