| NPI | 1104967223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMIR BARSOUME HALAKA President 323-469-8816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: CA BY37115) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2008-07-18 |