| NPI | 1336683549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVISHAN K. NASIRI President/Dentist 949-981-5601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 64535) |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2016-12-06 |