| NPI | 1235736513 |
|---|---|
| Doing Business As | DENTIST OF GARDENA |
| Entity Type | Organization |
| Authorized Contact | OMID R BARKHORDAR Owner 818-624-1601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2021-10-08 |