| NPI | 1255610093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMED ELSHAFIE Owner 805-278-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 32231) |
| Enumeration Date | 2011-08-10 |
| Last Update Date | 2011-08-10 |