| NPI | 1447043559 |
|---|---|
| Doing Business As | HUNTINGTON PARK CHILDREN'S DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | POOYAN NASIBI Owner 424-208-4055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
| Enumeration Date | 2025-05-22 |
| Last Update Date | 2025-05-22 |