NPI | 1205956174 |
---|---|
Other Name | MG BACHOUR DDS |
Entity Type | Organization |
Authorized Contact | MOUNZER BACHOUR CEO 209-723-5005 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 44826) |
Enumeration Date | 2007-04-02 |
Last Update Date | 2013-08-02 |