| NPI | 1568188811 |
|---|---|
| Doing Business As | SOCAL MODERN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | RAMIN RABII Pediatric Dentist 310-375-3939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry |
| 261QD0000X Clinic/Center, Dental | |
| Enumeration Date | 2022-10-18 |
| Last Update Date | 2022-10-18 |