| NPI | 1780123018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL OMID RABIZADEH President 818-723-4337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA DDS100986) |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2017-02-20 |