| NPI | 1205643350 |
|---|---|
| Doing Business As | CRYSTAL DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | ALEXANDER MORADZADEH Owner/President 310-666-0378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-12-12 |
| Last Update Date | 2024-12-12 |