| NPI | 1447620281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAYAM A SANJIDEH Orthodontist 310-435-7449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 56201) |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2015-10-06 |