| NPI | 1205018538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALI GHAVI BONIHE Dentist 818-592-6060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 49754) |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2016-05-24 |