| NPI | 1023568581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARHAD AMINI Dentist /President 626-332-0638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 62172) |
| Enumeration Date | 2016-10-09 |
| Last Update Date | 2016-10-26 |