| 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 |