| NPI | 1326605973 |
|---|---|
| Other Name | JEEVAN V GHATNEKAR |
| Entity Type | Organization |
| Authorized Contact | NEELA JEEVAN GHATNEKAR Secretary 714-921-9252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-05-20 |
| Last Update Date | 2019-05-20 |