| NPI | 1578941977 |
|---|---|
| Former Legal Business Name | NAILA R FARUKHI, A PROFESSIONAL DENTAL CORP |
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD SHIRAZ HAIDER Secretary 949-302-9124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 64017) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 57840) |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2020-04-09 |