| NPI | 1841538998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONA TORBATI Owner 323-567-1821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 57788) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 61146) |
| Enumeration Date | 2013-01-24 |
| Last Update Date | 2013-01-24 |