| NPI | 1194439612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANISHA SISODIA President 213-595-9757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2023-01-09 |
| Last Update Date | 2023-01-09 |