| NPI | 1609318005 |
|---|---|
| Doing Business As | LODO ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | SHEILA SOROUSHIAN Orthodontist 949-413-4828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CO 202090) |
| Enumeration Date | 2016-11-16 |
| Last Update Date | 2016-11-16 |