NPI | 1548580780 |
---|---|
Doing Business As | FAMILIA DENTAL |
Entity Type | Organization |
Authorized Contact | KOUSHAN H AZAD President/Owner 888-988-4066 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2010-06-10 |
Last Update Date | 2010-06-10 |