| NPI | 1457554347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NASRIN AZIMZADEH Owner 7738-805-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019024883) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2008-05-14 |