| NPI | 1982745394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NINA MOGHADDAM GRAY President 818-830-9050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 48513) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2014-10-07 |