| NPI | 1134345507 |
|---|---|
| Doing Business As | 6TH AVENUE PERIODONTICS & IMPLANT DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ROYA NIAKIANI Owner 619-702-7113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: CA 44232) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2015-07-23 |