NPI | 1134368491 |
---|---|
Entity Type | Organization |
Authorized Contact | FARSHAD SAGHATCHI President 949-574-0100 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 45970) |
Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: CA 49877) |
Enumeration Date | 2009-02-10 |
Last Update Date | 2018-10-24 |