| 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 |