| NPI | 1043902257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIOUSHA SAGHAFI Owner 818-430-1083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2023-05-24 |
| Last Update Date | 2023-12-06 |