| NPI | 1023542586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMIN KHOSHSAR Dentist/Owner 949-273-8220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 64391) |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2017-04-11 |