| NPI | 1366530115 |
|---|---|
| Former Legal Business Name | MISSION BAY FAMILY DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | NADERE ABHARI CEO 858-270-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 40793) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2008-07-23 |