| NPI | 1053912329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHYA FARNIA Owner 737-781-9438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2020-11-03 |