| NPI | 1275781692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YASAMAN HASSANIZADEH President 310-430-1444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 57583) |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2008-08-28 |