| NPI | 1881134005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BABAK RAZMAZMA Owner 818-822-2278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0004X Dentist, Dentist Anesthesiologist Speciality (Licence: VA 0401415377) |
| Additional Taxonomies | 1223D0004X Dentist, Dentist Anesthesiologist Speciality (Licence: DC DEN1001688) |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2017-03-07 |