| NPI | 1780227157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMAN HAROUNI President 310-927-6461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2019-10-17 |
| Last Update Date | 2019-10-17 |