| NPI | 1356546147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAHED HATTAR Owner 760-243-3595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA G93970-01) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2020-08-22 |