| NPI | 1225574353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROXANNA BAGHAI Owner/Dentist 949-554-8454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 46023) |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2017-01-12 |