NPI | 1801271374 |
---|---|
Doing Business As | LA DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | BEHZAD FADAEI Dentist/Owner 818-787-6787 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 62751) |
Enumeration Date | 2015-07-27 |
Last Update Date | 2015-07-27 |