| 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 |