| NPI | 1053554212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARID MOHSEN HANNA CEO 661-322-7696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 31045) |
| Enumeration Date | 2009-04-16 |
| Last Update Date | 2009-04-16 |