| NPI | 1396285342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARANEH RAZAVI Dentist 818-830-6181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 61843) |
| Enumeration Date | 2017-02-23 |
| Last Update Date | 2022-04-27 |