| NPI | 1578200622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAHAL E MILANI Owner 925-980-9079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2022-05-18 |
| Last Update Date | 2022-05-18 |