| NPI | 1316159486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GHASSAN MEHTAR President 949-661-9119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 44215) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2012-12-10 |