| NPI | 1720219629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PARASTOO FARHOODI Owner 323-876-6440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 40237) |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2009-07-27 |