| NPI | 1598810004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICKY M HAKIMI Dentist Owner 916-788-1114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: CA 39155) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2008-12-16 |