NPI | 1114594538 |
---|---|
Entity Type | Organization |
Authorized Contact | ATOOSA NIKAEEN Owner Dentist 818-225-8800 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Additional Taxonomies | 1223G0001X Dentist, General Practice |
1223P0221X Dentist, Pediatric Dentistry | |
Enumeration Date | 2021-06-04 |
Last Update Date | 2021-06-04 |