| NPI | 1942752878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARMEN MASSIH President 818-321-5505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: CA 55083) |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2016-10-26 |