| NPI | 1164712816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOORULLAH AZIM President 818-508-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 59590) |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2024-10-16 |