| NPI | 1902202823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARIBORZ RODEF President 310-625-3773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 38356) |
| Enumeration Date | 2014-11-05 |
| Last Update Date | 2014-11-05 |