| NPI | 1093056715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZAN CATHRYN KHAJAVI Owner 562-591-6070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 61587) |
| Enumeration Date | 2013-03-05 |
| Last Update Date | 2013-03-05 |