| NPI | 1225540180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FATEMEH HADJIAN D.D.S. P.A. 760-568-6900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 51212) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 51212) |
| Enumeration Date | 2017-11-01 |
| Last Update Date | 2017-11-01 |