| NPI | 1063963213 |
|---|---|
| Doing Business As | PALMDALE DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | DAVID RABIZADEH Officer 661-947-2135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 41984) |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2016-10-21 |