| NPI | 1649500018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATI OZRA ASGARIFAR CEO 818-991-7752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 42799) |
| Enumeration Date | 2010-01-07 |
| Last Update Date | 2010-01-12 |