| NPI | 1356526750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEHDAD OMRANI Dentist / President 310-644-2310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 52443) |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2008-01-03 |