| NPI | 1528504222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDMOND REUBEN AHDOOT President 818-883-2173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 61163) |
| Enumeration Date | 2017-01-18 |
| Last Update Date | 2017-01-18 |