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 |