| NPI | 1104425131 |
|---|---|
| Doing Business As | PERLA DENTAL |
| Entity Type | Organization |
| Authorized Contact | HOSSEIN MALAKOOTI Dentist 909-600-7126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-10-21 |