NPI | 1164908018 |
---|---|
Entity Type | Organization |
Authorized Contact | KHALED DAOUD President 323-263-9600 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA DDS100685) |
Enumeration Date | 2018-07-13 |
Last Update Date | 2018-07-13 |