| NPI | 1396866000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROYA NAZILA MIRKHAN President 858-337-6264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: CA 44743) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2010-10-22 |