NPI | 1194866335 |
---|---|
Entity Type | Organization |
Authorized Contact | NILOO TAVAKOL President 818-439-3300 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 43402) |
Enumeration Date | 2007-02-09 |
Last Update Date | 2020-08-22 |