NPI | 1306056544 |
---|---|
Entity Type | Organization |
Authorized Contact | MAHYAR MAHBOUB President 949-653-6318 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 45586) |
Enumeration Date | 2007-05-23 |
Last Update Date | 2020-08-22 |