| NPI | 1699049221 |
|---|---|
| Doing Business As | FAMILIA DENTAL |
| Entity Type | Organization |
| Authorized Contact | KOUSHAN AZAD President 888-988-4066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019026920) |
| Enumeration Date | 2012-02-29 |
| Last Update Date | 2012-02-29 |