| NPI | 1154724763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONA MAHMOODI Dds/Dentist 310-993-5758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 62200) |
| Enumeration Date | 2014-09-28 |
| Last Update Date | 2014-09-28 |