NPI | 1043716384 |
---|---|
Entity Type | Organization |
Authorized Contact | AMINA JAVAID SHELLY CHAUDHRY Doctor 714-869-5968 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 101814) |
Enumeration Date | 2018-04-04 |
Last Update Date | 2018-04-04 |