| NPI | 1770642548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARIBORZ RODEF Owner/CEO 626-412-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 51046) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2022-02-28 |