NPI | 1225645252 |
---|---|
Doing Business As | SOUTHBAY DENTISTRY AND ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | JOSEPH AZIZI President/Owner 310-466-9571 |
Organization Subpart ? | Yes |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2020-09-24 |
Last Update Date | 2023-01-24 |