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 |