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 |