| NPI | 1063960987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILI MIRTORABI Owner 323-228-9282 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 42574) |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2016-09-20 |