| NPI | 1356546550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID SHABANZADEH President 818-448-0676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 40728) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2011-02-17 |