| NPI | 1871149930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH AZIZI Owner 818-782-9500 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2019-08-14 |