| NPI | 1356695589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH DANESH President 818-384-6864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 52368) |
| Enumeration Date | 2012-11-09 |
| Last Update Date | 2012-11-09 |