| NPI | 1114370079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANI JABBOUR President 925-930-8465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 46074) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: CA 46279) |
| Enumeration Date | 2016-07-15 |
| Last Update Date | 2016-07-15 |