| NPI | 1518093111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHRYAR SEFIDPOUR Owner / Doctor 916-774-6986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 98442) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2016-09-27 |