| NPI | 1700215514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD MEHDI MOHAMMADI Dentist 213-271-0390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 61402) |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2013-11-02 |