| NPI | 1487130191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARHANA RASSIWALA Dds/Owner 925-872-0050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 54852) |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2018-09-26 |