| NPI | 1235438672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAZAFARIN RAFIEYAN Dentist 818-834-0011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 50984) |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2013-07-08 |