NPI | 1114276631 |
---|---|
Doing Business As | CASA DENTAL OF SANTA ANA |
Entity Type | Organization |
Authorized Contact | BABAK ROBERT ETEMAD Owner 714-541-0837 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 59028) |
Enumeration Date | 2012-08-29 |
Last Update Date | 2012-08-29 |