| NPI | 1497097042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMRAN SAHABI President 818-395-4833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2024-07-16 |