| NPI | 1235724881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHAB PARSA Orthodontist 949-466-3157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2021-03-05 |
| Last Update Date | 2021-03-05 |