| NPI | 1578684585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | M. FAROOQ AHMAD Owner 951-506-6872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 045080) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2008-07-31 |