| NPI | 1346458114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAFIK RAYMOND MESERKHANI Owner 818-549-0994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 45734) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2022-10-07 |