NPI | 1467576017 |
---|---|
Former Legal Business Name | ABC DENTAL GROUP-FAGHIH DDS INC |
Entity Type | Organization |
Authorized Contact | MEHRDAD FAY President 559-733-9797 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2007-03-19 |
Last Update Date | 2012-09-17 |