| NPI | 1104972439 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | PORIYA DOKHANCHI President, Owner 415-921-9210 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 46050) | 
| Enumeration Date | 2007-01-27 | 
| Last Update Date | 2020-08-22 |