| NPI | 1013113497 |
|---|---|
| Doing Business As | BAYSIDE ENDODONTICS |
| Entity Type | Organization |
| Authorized Contact | ROWSHAN AHANI President 650-757-3636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CA 46162) |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2008-02-11 |