NPI | 1841051182 |
---|---|
Former Legal Business Name | FARAZ EDALATPAJOUH DENTAL INC |
Entity Type | Organization |
Authorized Contact | FARAZ EDALATPAJOUH Owner 310-529-5685 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2024-01-23 |
Last Update Date | 2024-01-23 |