| NPI | 1366178816 |
|---|---|
| Doing Business As | MISSION GORGE MODERN DENTISTRY DENT |
| Entity Type | Organization |
| Authorized Contact | AFSHIN HABASHI Owner Doctor 619-272-2271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2022-07-27 |
| Last Update Date | 2022-07-27 |