| 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 |