| NPI | 1457558397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRAJ NOURI Owner Dentist 310-518-2697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 39856) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2020-08-22 |