NPI | 1821526419 |
---|---|
Doing Business As | CRYSTAL DENTAL |
Entity Type | Organization |
Authorized Contact | ALEXANDER S MORADZADEH Owner 213-748-8448 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 57506) |
Enumeration Date | 2017-05-26 |
Last Update Date | 2022-07-21 |