| NPI | 1689708380 |
|---|---|
| Doing Business As | MODERN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | KAMBIZ ARDJMAND Dentist 858-259-4765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 38248) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-08-22 |