| NPI | 1689803090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PARVAZ FARNAD President 310-617-0144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: CA 53062) |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2009-07-07 |