| NPI | 1285761411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIAN FARZANEH President 925-831-9217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 46587) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2021-05-21 |