| NPI | 1457565178 |
|---|---|
| Doing Business As | MODERN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | AMIR MOJAVER Doctor Dentist 858-259-4765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 51977) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2007-07-12 |