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 |