| NPI | 1518590389 |
|---|---|
| Doing Business As | CASA DENTAL OF SANTA ANA |
| Doing Business As | M FARSHIDPOUR, DDS, INC. |
| Entity Type | Organization |
| Authorized Contact | MARY M FARSHIDPOUR Tin Owner 714-541-0837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2020-02-19 |
| Last Update Date | 2020-06-11 |