NPI | 1710656962 |
---|---|
Entity Type | Organization |
Authorized Contact | AMIR DADGAR-YEGANEH Board Certified Orthodontist 310-774-1372 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2021-09-10 |
Last Update Date | 2021-09-10 |