| NPI | 1073698429 |
|---|---|
| Doing Business As | MAIN STREET DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | MARAL KHAZALI Owner Dds 805-644-6110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2022-02-04 |