| NPI | 1861591521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HIRBOD ETESSAMI Owner Partner 310-550-0506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CA DC35209) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: CA 37329) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2013-03-20 |