| 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 |