NPI | 1104607456 |
---|---|
Entity Type | Organization |
Authorized Contact | ANGELICA CHAGHOURI President 310-623-2226 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2023-10-12 |
Last Update Date | 2023-10-12 |