NPI | 1861548323 |
---|---|
Entity Type | Organization |
Authorized Contact | RAMTIN VAHADI President 310-373-6833 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 44114) |
Enumeration Date | 2007-01-26 |
Last Update Date | 2020-08-22 |