NPI | 1407267974 |
---|---|
Doing Business As | PARADISE DENTAL PRACTICE |
Entity Type | Organization |
Authorized Contact | MOJGAN NIKTASH Dentist 949-481-2121 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 45598) |
Enumeration Date | 2014-05-17 |
Last Update Date | 2021-01-12 |