| NPI | 1992831655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARIBA SIMHAI YOUNAI Director 310-825-8879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: CA 2075) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2011-11-19 |