NPI | 1417618778 |
---|---|
Doing Business As | STARRY SKIES DENTAL |
Entity Type | Organization |
Authorized Contact | MOHAMMAD KHAKNEGAR President 818-835-9019 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2022-01-07 |
Last Update Date | 2022-01-07 |