| NPI | 1194693713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVA VAKILI President 650-440-0398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2025-10-27 |
| Last Update Date | 2025-10-27 |