| NPI | 1740898048 | 
|---|---|
| Former Legal Business Name | PACIFIC DENTAL PROSTHETICS | 
| Entity Type | Organization | 
| Authorized Contact | HAMID BABAEIAN Owner 818-203-7000 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 292200000X Dental Laboratory | 
| Enumeration Date | 2020-07-22 | 
| Last Update Date | 2020-07-22 |