| NPI | 1285075960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AQEELA SYEDA SHAH President 714-554-5062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 58179) |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2013-07-10 |