| NPI | 1518165810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOJAN TALEBZADEH Owner 619-420-3311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: CA 42098) |
| Enumeration Date | 2007-07-07 |
| Last Update Date | 2016-04-15 |