| NPI | 1457736597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAJID MAX MOSSLEHI Provider 714-838-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 45151) |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2016-08-09 |