| NPI | 1366532012 |
|---|---|
| Doing Business As | MD PERIODONTICS |
| Entity Type | Organization |
| Authorized Contact | ABDOLLAH MOSHREFI CEO 310-859-9449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: CA 46300) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2009-08-17 |