| NPI | 1922542356 |
|---|---|
| Doing Business As | SOUTH GATE DENTISTRY & ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | MEHRDAD NOORI Owner 323-581-0754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 57118) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 58117) |
| Enumeration Date | 2016-12-03 |
| Last Update Date | 2016-12-03 |