| NPI | 1093953440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FIROUZEH BANI Dentist 818-990-5900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 44653) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 44181) |
| Enumeration Date | 2009-01-22 |
| Last Update Date | 2009-01-22 |