| NPI | 1467658997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHRAM ABRAHAM LAVI President 213-623-2212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 41939) |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2020-08-22 |