NPI | 1124171905 |
---|---|
Doing Business As | SC ELITE DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | AMIR MEHDI NOORI ESFANDIARI Owner 949-861-2500 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 52665) |
Enumeration Date | 2007-01-18 |
Last Update Date | 2009-03-03 |