| NPI | 1063538569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAMID REZAPOUR Owner 925-680-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 50130) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: CA 21643) |
| 1223G0001X Dentist General Practice (Licence: CA 52363) | |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2008-06-17 |