NPI | 1356589196 |
---|---|
Doing Business As | BERKELEY HILLS DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | FARIBA POUR-ANSARI Owner/Dentisy 510-848-8624 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 48168) |
Enumeration Date | 2009-02-02 |
Last Update Date | 2009-02-02 |