| NPI | 1801940598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMRAN SAHABI President CEO 818-395-4833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Additional Taxonomies | 1223E0200X Dentist Endodontics |
| 1223P0300X Dentist Periodontics | |
| 1223S0112X Dentist Oral and Maxillofacial Surgery | |
| 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics | |
| 124Q00000X Dental Hygienist | |
| 261QD0000X Clinic/Center Dental | |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-08-04 |