| NPI | 1497971006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMID VATANKHAHAN Owner 714-547-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 49259) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-08-22 |