NPI | 1932540614 |
---|---|
Entity Type | Organization |
Authorized Contact | KAMRAN SAHABI President 818-395-4833 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 39202) |
Additional Taxonomies | 261QD0000X Clinic/Center Dental |
Enumeration Date | 2013-07-10 |
Last Update Date | 2022-01-10 |