| NPI | 1477946846 |
|---|---|
| Other Name | N/A |
| Entity Type | Organization |
| Authorized Contact | OMER ALE SULEIMANAGICH President 310-553-8188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 40023) |
| Enumeration Date | 2015-03-10 |
| Last Update Date | 2015-03-10 |