| NPI | 1548535123 |
|---|---|
| Doing Business As | EBRAHIMIAN INTEGRATIVE DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MAX EBRAHIMIAN Owner 831-438-4411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 28542) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: CA 28543) |
| Enumeration Date | 2012-03-15 |
| Last Update Date | 2012-03-15 |