| NPI | 1063890689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEHROUZ SAMI DARYANI President/Owner 209-549-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 56883) |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2015-05-14 |