| NPI | 1215225776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAGHMEH JAVAHERIAN Dentist 818-997-4528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: 42333) |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2011-07-19 |