| NPI | 1669660296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JALEH TAHERI NOURIAN Office Manager 818-716-1616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 39057) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2020-11-20 |