| NPI | 1144436494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL M KASROVI President 510-204-8856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 40362) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2020-08-22 |