| NPI | 1538723150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AZADEH ASHTIANY Owner Dentist 949-363-2010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2019-04-29 |
| Last Update Date | 2024-11-08 |