| NPI | 1992008049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEILA ROUMANI Dentist 626-483-9965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA DN1855307) |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2010-12-13 |