| NPI | 1659725208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEPIDEH ARIARAD Owner/Dr 310-567-0120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: CA 41812) |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2016-04-20 |