| NPI | 1245891829 |
|---|---|
| Doing Business As | INNOVA PERIODONTICS & IMPLANT DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | COMEL REHMAN AHMAD Business Manager 916-705-5754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2019-06-25 |