| 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 |