| NPI | 1235385113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEHRZAD FIROUZBAKHT President 818-908-9199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 55616) |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2008-08-12 |