NPI | 1033376587 |
---|---|
Doing Business As | AAVA DENTAL OF IRVINE |
Entity Type | Organization |
Authorized Contact | MALEK KAMAL MANSOUR Dentist 949-585-1515 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 29971) |
Enumeration Date | 2008-05-21 |
Last Update Date | 2013-02-13 |