| NPI | 1689863987 |
|---|---|
| Other Name | CROSSROADS FAMILY DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | REZA MOHAMMAD BIRJANDI Owner Dds 951-657-2222 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 38259) |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2019-09-19 |