| NPI | 1003182478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA SAFYAM Financial/Insurance Adm. 310-208-5758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2012-03-29 |