| NPI | 1275755811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PARISA MORTAZAVI President 408-410-5398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 48338) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |