| NPI | 1518325117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CIMA MAZAR-ATABAKI President/Pediatric Dentist 310-985-0418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 58241) |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2016-03-04 |