| NPI | 1942550082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAHMAN HAKIM Dentist 818-857-6020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 28644) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 61562) |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2013-03-07 |