| NPI | 1912104894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILI MIRTORABI Owner 323-589-3438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 42574) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2015-06-04 |