| NPI | 1225177066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NINA N. MADAVI Principal 805-563-2101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 42066) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-08-22 |