| NPI | 1912267709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT MICHAEL MALOUF President 626-797-7551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 15086) |
| Enumeration Date | 2012-05-25 |
| Last Update Date | 2012-05-25 |