| NPI | 1124351374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARZIN MEHRDAD Dentist/Owner/Director 714-545-9990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 47127) |
| Enumeration Date | 2009-09-04 |
| Last Update Date | 2009-09-04 |