| NPI | 1881177178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILI MIRTORABI Owner 323-228-9592 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2019-02-06 |