| NPI | 1073789913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HATEM ALASSY Treasurer 714-580-4353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN d11992) |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2009-08-12 |