| NPI | 1811306202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NADER RAMZI President 562-694-0396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 41670) |
| Additional Taxonomies | 1223P0300X Dentist Periodontics (Licence: CA 49419) |
| 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: CA 55220) | |
| Enumeration Date | 2014-08-11 |
| Last Update Date | 2014-08-11 |