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 |