| NPI | 1346769452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEHRAN HAIDARI President/ Owner 925-524-0444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: CA 101324) |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2017-09-11 |