| NPI | 1629435763 |
|---|---|
| Doing Business As | LIFETIME DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | NIKNAM BAGHERI General Dentist 530-848-0283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 27367) |
| Enumeration Date | 2016-01-20 |
| Last Update Date | 2016-01-20 |