| NPI | 1326255316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN H FOROUTAN President 818-881-0404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 32956) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2015-11-04 |