| NPI | 1174882062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIAVASH KEVIN BADII Director/Owner 714-835-2383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| 122300000X Dentist | |
| Enumeration Date | 2012-05-11 |
| Last Update Date | 2015-03-30 |