| NPI | 1437468923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AFAQ M. KHEIRI Owner 866-273-8204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12010691A) |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2010-09-30 |