NPI | 1831782267 |
---|---|
Entity Type | Organization |
Authorized Contact | SAM BARADARAN Dds 818-447-0098 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2021-02-17 |
Last Update Date | 2021-02-19 |