NPI | 1255134615 |
---|---|
Entity Type | Organization |
Authorized Contact | ADRIEN ARASH HAMEDI SANGSARI Owner 818-523-6403 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Additional Taxonomies | 1223P0300X Dentist, Periodontics |
Enumeration Date | 2025-03-31 |
Last Update Date | 2025-03-31 |