NPI | 1548820632 |
---|---|
Entity Type | Organization |
Authorized Contact | BABAK YOUSEFI President 562-420-4400 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry |
Additional Taxonomies | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2019-06-19 |
Last Update Date | 2019-06-19 |