| NPI | 1114223153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARANGIS PARTOVI Periodontist 310-422-9049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: CA 46209) |
| Enumeration Date | 2011-02-09 |
| Last Update Date | 2011-02-09 |