| NPI | 1992147409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEPAND HOKMABADI Owner 4150-830-1588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 50270) |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2013-07-25 |