| NPI | 1902749005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRINA SHARP Orthodontist 213-440-0483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2026-04-13 |
| Last Update Date | 2026-05-11 |