| NPI | 1174014179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PANKAJ NARKHEDE Owner 949-770-0966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 45155) |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2018-05-24 |