| NPI | 1104016179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAMID KHERADMANDNIA President 619-461-9494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 50620) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2007-07-26 |