| NPI | 1275017337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEHNAM SALAR Managing Member 310-968-0562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2018-09-24 |