| NPI | 1447430624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYMAN MAHMOUD GHOZLAN Dentist 916-337-1077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 46060) |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2007-11-06 |