| NPI | 1609159748 |
|---|---|
| Doing Business As | FAMILIA DENTAL |
| Entity Type | Organization |
| Authorized Contact | KOUSHAN H AZAD President 888-988-4066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019026920) |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2011-09-26 |