NPI | 1215595327 |
---|---|
Doing Business As | PURE CYPRESS DENTIST |
Entity Type | Organization |
Authorized Contact | RAMTIN KHAEF Owner 949-510-0225 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2019-06-04 |
Last Update Date | 2019-06-04 |