NPI | 1356086524 |
---|---|
Entity Type | Organization |
Authorized Contact | SANAZ YOUSEFI CEO 310-872-2357 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2022-05-03 |
Last Update Date | 2022-05-03 |