NPI | 1578074472 |
---|---|
Doing Business As | SUNVALLEY ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | MAURICE DAVID SIMANIAN Orthodontist / President 310-363-0369 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 61015) |
Enumeration Date | 2017-10-18 |
Last Update Date | 2017-10-18 |