| NPI | 1558585539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORTEZA MAZLOOM D.D.S. 530-885-1968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 49596) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |