| NPI | 1275261257 |
|---|---|
| Doing Business As | NORTH STAR PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | NINUS EBRAHIMI Owner 805-409-9195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2022-08-09 |
| Last Update Date | 2022-08-09 |