| NPI | 1720247638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GOLSAHN MORTEZAIEFARD Owner 818-888-4004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA B39049) |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2008-06-05 |