| 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 |