| NPI | 1114164399 |
|---|---|
| Doing Business As | SAND CANYON DENTAL |
| Entity Type | Organization |
| Authorized Contact | SEPIDEH NAJARAN President 949-727-9077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 49155) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: CA 50521) |
| Enumeration Date | 2009-01-09 |
| Last Update Date | 2009-01-15 |