| NPI | 1376841361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMINOLLAH BAGHERI Owner 858-776-2899 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: CA 56340) |
| Enumeration Date | 2011-03-01 |
| Last Update Date | 2011-03-01 |