| NPI | 1750981478 |
|---|---|
| Doing Business As | GREEN DENTAL AND ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | JOSEPH AZIZI President/Owner 310-466-9571 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2020-10-30 |
| Last Update Date | 2020-10-30 |