| NPI | 1275608010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAWAL NAZEER ROFAEL President 310-973-0945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 37486) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2020-08-22 |