| NPI | 1003255852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOHRAB MOSHIRI Owner 818-518-5020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 53522) |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2013-09-11 |