| NPI | 1356495865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMRAN SAHABI President CEO 818-395-4833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics |
| 1223P0300X Dentist, Periodontics | |
| 124Q00000X Dental Hygienist | |
| 261QD0000X Clinic/Center, Dental | |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2021-11-04 |