| NPI | 1124248091 |
|---|---|
| Doing Business As | SKYLINE DENTAL |
| Entity Type | Organization |
| Authorized Contact | KAMBIZ MAHDAVI President 805-496-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 52639) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2012-12-04 |