| NPI | 1023220506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PERVEEN ALEEMUDDIN President 714-579-7788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 42516) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-08-22 |