| NPI | 1073788642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BABAK AMINPOUR President 951-788-7701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: CA 55220) |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2008-04-24 |