| NPI | 1437364288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOBBY SOLEIMAN President 818-389-7288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: CA 43860) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: NV S4-61C) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2009-12-07 |