| NPI | 1760123525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PARISH PAYMON SEDGHIZADEH Owner 424-444-7284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2022-04-05 |