| NPI | 1306383096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHIN JAVID Dds 661-222-2242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: CA 43021) |
| Enumeration Date | 2017-01-19 |
| Last Update Date | 2024-09-26 |