| NPI | 1366924912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOBAK SHEMIRANI Owner 510-793-9025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 47561) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2018-08-30 |