| NPI | 1861892994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA MARYAM JAVADPOUR Office Manager 310-869-0302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 42372) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2022-10-11 |