| NPI | 1184174856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEPIDEH NOROOZI President 323-566-0581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223G0001X Dentist General Practice |
| 1223P0221X Dentist Pediatric Dentistry | |
| 1223S0112X Dentist Oral and Maxillofacial Surgery | |
| 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics | |
| 124Q00000X Dental Hygienist | |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2017-02-28 |