| NPI | 1295924959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GHOLAM-REZA ZARRINNEGAR President 818-344-0177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 53492) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 56090) |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2007-10-18 |