| NPI | 1003033556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHASHAYAR KHODADADI President 323-834-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 43026) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2010-06-14 |