| NPI | 1144676024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMID BARKHORDAR Dentist 818-624-1601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 58536) |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2019-06-11 |