| NPI | 1396209821 |
|---|---|
| Other Name | PACIFIC DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | EHSAN DIAB CEO 559-824-5011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-01-29 |
| Last Update Date | 2019-01-29 |