| NPI | 1033742960 |
|---|---|
| Doing Business As | MARYAM EKHTIAR DDS INC |
| Entity Type | Organization |
| Authorized Contact | MARYAM EKHTIAR Dentist 949-364-1171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-02-19 |
| Last Update Date | 2020-02-19 |