| NPI | 1114063112 |
|---|---|
| Doing Business As | GRAND FAMILY DENTAL OFFICE |
| Entity Type | Organization |
| Authorized Contact | IFTIKHAR ALI KHAN President 626-335-7989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 28584) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2010-01-05 |