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 |