| NPI | 1093103954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DMITRY G AMINOV Dentist 805-520-1711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 55889) |
| Enumeration Date | 2014-12-30 |
| Last Update Date | 2019-03-07 |