| NPI | 1386723930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMBIZ DOWLAT ABADI President 710-202-6040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 37101) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2013-09-20 |