| NPI | 1578062121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MISSAGH PEZESHKIAN CEO 818-409-0999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 51440) |
| Enumeration Date | 2018-02-09 |
| Last Update Date | 2018-02-09 |