NPI | 1902185846 |
---|---|
Entity Type | Organization |
Authorized Contact | FARIBORZ RODEF President 310-625-3773 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 38356) |
Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 38356) |
Enumeration Date | 2011-08-10 |
Last Update Date | 2011-09-02 |