| NPI | 1134929250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RASHMI SRIVASTAVA Owner 626-710-3459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery | |
| Enumeration Date | 2025-03-17 |
| Last Update Date | 2025-03-17 |