| NPI | 1235477308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIAMAK VESHKINI Owner 949-855-2060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 36026) |
| Enumeration Date | 2013-01-24 |
| Last Update Date | 2013-01-24 |