| NPI | 1942603709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMRAN TABIB President 818-705-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 45203) |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2014-10-07 |