| NPI | 1356589196 |
|---|---|
| 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 |