| NPI | 1275343204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HESSAM RAHIMI Orthodontist 310-666-5730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Additional Taxonomies | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2025-01-11 |
| Last Update Date | 2025-01-14 |