NPI | 1447440482 |
---|---|
Entity Type | Organization |
Authorized Contact | THARWAT SOROUR President 310-973-8004 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 54393) |
Additional Taxonomies | 122300000X Dentist (Licence: CA 54394) |
Enumeration Date | 2007-07-26 |
Last Update Date | 2007-07-26 |