| 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 |