| NPI | 1386224111 |
|---|---|
| Former Legal Business Name | ATOOSA NIKAEEN DDS INC. |
| Entity Type | Organization |
| Authorized Contact | ATOOSA NIKAEEN Orthodontist/Owner 310-444-1113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-04-14 |
| Last Update Date | 2021-04-14 |