NPI | 1902099112 |
---|---|
Entity Type | Organization |
Authorized Contact | HEDI KERMANI President 949-836-1699 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: CA 43565) |
Enumeration Date | 2007-08-21 |
Last Update Date | 2007-08-21 |