| NPI | 1386032407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIKRAM RAJ TIKU Owner 805-544-8111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 63318) |
| Enumeration Date | 2014-12-23 |
| Last Update Date | 2014-12-23 |