| NPI | 1124360417 |
|---|---|
| Doing Business As | ORANGECREST FAMILY DENTAL PRACTICE |
| Entity Type | Organization |
| Authorized Contact | SHEIDA MOHAMMADIZADEH Owner 951-789-9905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2013-03-25 |