| NPI | 1154786648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARSH KALYANI President 951-892-9194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 64010) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 61744) |
| Enumeration Date | 2015-12-28 |
| Last Update Date | 2016-04-03 |