NPI | 1114126984 |
---|---|
Doing Business As | FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | KAWEH FARAHBOD Owner 714-893-1356 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 41724) |
Enumeration Date | 2007-07-12 |
Last Update Date | 2007-07-12 |