| NPI | 1225336951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL BABAKHANOF Doctor/ President 818-781-7020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: CA 54585) |
| Enumeration Date | 2011-03-03 |
| Last Update Date | 2011-03-03 |