NPI | 1013081918 |
---|---|
Entity Type | Organization |
Authorized Contact | SAM NMN SOLTANI President 707-422-5441 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 54307) |
Enumeration Date | 2006-11-20 |
Last Update Date | 2020-08-22 |