NPI | 1972267706 |
---|---|
Doing Business As | DENTIST OF LONG BEACH |
Entity Type | Organization |
Authorized Contact | OMID BARKHORDAR President 818-624-1601 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2021-10-27 |
Last Update Date | 2021-10-27 |