| NPI | 1316326358 |
|---|---|
| Former Legal Business Name | ANTIOCH DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | FARHAD PARTOVI Owner 925-947-2999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 41510) |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2015-05-22 |