| NPI | 1710183736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEHRZAD SERAJI Owner President 213-627-5895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 42881) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 49350) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2020-08-22 |