| NPI | 1518399518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAILESHKUMAR M. BHATT Doctor 626-961-1574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 33550) |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2013-08-01 |