| NPI | 1588911465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BABAK YOUSEFI President 562-944-8408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 49464) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 49464) |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2013-01-29 |