| NPI | 1760806624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY KHORSANDI President 310-709-9002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 056821) |
| Enumeration Date | 2014-02-13 |
| Last Update Date | 2014-02-13 |