| NPI | 1144686981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMBIZ SADRAEI Owner/Dentist 818-943-0375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 30895) |
| Enumeration Date | 2016-01-09 |
| Last Update Date | 2016-01-09 |