| NPI | 1124140751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHSAN S RAZA Owner/Partner 805-497-3797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: CA 036029) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2009-02-04 |