| NPI | 1184888398 |
|---|---|
| Doing Business As | MISSION DENTAL IMPLANT CENTER |
| Entity Type | Organization |
| Authorized Contact | AL SHYSTE MANESH Owner 949-364-2935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: CA 48376) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 48376) |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2020-11-24 |