| NPI | 1427700947 |
|---|---|
| Doing Business As | ULTRA DENTAL |
| Entity Type | Organization |
| Authorized Contact | OMEED MAHBOOBIAN Partner 310-435-5115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-01-25 |
| Last Update Date | 2022-01-25 |