| NPI | 1255447132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOSSEIN JAHANGIRI Owner/Dentist 949-830-3743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 43611) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2019-06-21 |