| NPI | 1538677604 |
|---|---|
| Doing Business As | THE DENTAL OFFICE ON SOQUEL CANYON |
| Entity Type | Organization |
| Authorized Contact | SHAFAQ QURBAN Owner Dentist 909-375-0133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2018-01-11 |
| Last Update Date | 2022-02-04 |