NPI | 1245503754 |
---|---|
Entity Type | Organization |
Authorized Contact | JABEEN MAH KHAN Dentist 323-753-1411 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 55705) |
Enumeration Date | 2012-02-14 |
Last Update Date | 2012-02-14 |