NPI | 1124464508 |
---|---|
Doing Business As | CHILDREN'S DENTAL FUN ZONE |
Entity Type | Organization |
Authorized Contact | FARIBORZ RODEF Secretary 310-625-3773 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Additional Taxonomies | 1223G0001X Dentist, General Practice |
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
Enumeration Date | 2013-05-13 |
Last Update Date | 2013-05-13 |