NPI | 1124771407 |
---|---|
Doing Business As | BREA FAMILY DENTISTRY & ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | KOUROSH MALEKI Owner/Dentist 714-572-2818 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2022-01-27 |
Last Update Date | 2022-01-27 |