| NPI | 1346303112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID SHAHRAM RABIZADEH President 323-526-1992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 122300000X Dentist |
| 122300000X Dentist (Licence: CA 41984) | |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2020-02-12 |