| NPI | 1023474103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARIEN EPHRAM President 310-422-2802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 60862) |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2016-01-06 |