NPI | 1093777617 |
---|---|
Doing Business As | CONEJO SMILE DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | LADAN NADDAFI President Owner 805-557-0909 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 48340) |
Enumeration Date | 2006-04-06 |
Last Update Date | 2014-08-07 |