| NPI | 1548976749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD MEHDI DOWLATY President 714-253-3172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
| Enumeration Date | 2023-01-31 |
| Last Update Date | 2024-02-23 |