| NPI | 1376707661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAFAEDDIN JAHANBANI President 949-836-7831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 45376) |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2008-07-15 |