| NPI | 1659579142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHRAM ABRAHAM LAVI President 818-980-8472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 41939) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2020-08-22 |