| NPI | 1467014910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAMID R NADI Owner 323-722-6766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2019-07-05 |
| Last Update Date | 2020-05-15 |