| NPI | 1407738883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH NAZIRI Doctor 310-499-2054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2025-07-24 |
| Last Update Date | 2025-07-24 |