| NPI | 1821482258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARANEH FIROUZ NOORVASH Orthodontist 310-442-9661 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 40151) |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2015-03-24 |