| NPI | 1528259033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARZAD FARHAT Owner/Dentist 714-887-0177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: CA 37415) |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2007-08-08 |