NPI | 1558614255 |
---|---|
Doing Business As | MARCONI DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | ASHKAN ALIZADEH Owner 916-487-7148 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 51543) |
Additional Taxonomies | 305R00000X Preferred Provider Organization |
Enumeration Date | 2012-10-18 |
Last Update Date | 2016-11-03 |