| NPI | 1598425274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEHRNOOSH AKHAVAB Dentist 818-345-9601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2021-12-22 |
| Last Update Date | 2021-12-22 |