| NPI | 1760974182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GANI MAGHIRAN Vice President 818-486-8093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 44029) |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2018-06-01 |