| NPI | 1992892616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARIBORZ RODEF President 626-966-3033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: CA 38356) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2020-08-22 |