| NPI | 1306205430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIAMAK VESHKINI CEO / Owner 714-971-7800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 36026) |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2016-02-17 |