| NPI | 1548386279 |
|---|---|
| Doing Business As | DENTAL SPECIALTY GROUP |
| Entity Type | Organization |
| Authorized Contact | REZA KHAZAIE Owner 925-680-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: CA 41035) |
| 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: CA 54286) | |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 54123) | |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2009-06-29 |