| NPI | 1962372847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHDOKHT SADEGHVISHKAEI Owner/General Dentist 818-318-5758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2025-11-06 |
| Last Update Date | 2025-11-06 |