| NPI | 1538648324 |
|---|---|
| Doing Business As | EAGLE DENTAL |
| Entity Type | Organization |
| Authorized Contact | REZA SHIRAZI Dental Director 844-563-2453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 54475) |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2018-08-13 |