| NPI | 1992109888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOSTAFA MIRZABAGI Owner 818-523-0945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 37878) |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2014-10-21 |