| NPI | 1700652658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEYMAN SAGHIZADEH Doctor 310-666-7386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Additional Taxonomies | 1223P0300X Dentist Periodontics |
| 124Q00000X Dental Hygienist | |
| Enumeration Date | 2023-12-01 |
| Last Update Date | 2023-12-01 |