| NPI | 1215326947 |
|---|---|
| Doing Business As | FIFTH AVENUE DENTAL ARTS |
| Entity Type | Organization |
| Authorized Contact | RAMIN GHASSEMI Owner 619-233-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 40595) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 40681) |
| Enumeration Date | 2015-01-19 |
| Last Update Date | 2015-01-19 |