| NPI | 1780988519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHKAMEH SOLEIMANI-FARNAD CEO 310-597-5947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 50533) |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2011-01-10 |