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 |