NPI | 1669693479 |
---|---|
Entity Type | Organization |
Authorized Contact | RAMIN RAVAEI President 310-836-0300 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 41988) |
Enumeration Date | 2007-05-01 |
Last Update Date | 2020-08-22 |