| NPI | 1194369942 |
|---|---|
| Doing Business As | DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MAHDI SALEK Dentist 707-297-6240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2019-11-05 |