NPI | 1659744803 |
---|---|
Entity Type | Organization |
Authorized Contact | TAREQ MOHYI-ELDIN AFIFI Dentist 909-613-0111 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 61584) |
Enumeration Date | 2015-11-10 |
Last Update Date | 2015-11-10 |