| NPI | 1124357397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KOUROSH KEIKHANZADEH President 661-222-7267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CA 53806) |
| Enumeration Date | 2009-12-16 |
| Last Update Date | 2009-12-16 |