| NPI | 1699491340 |
|---|---|
| Doing Business As | KHORSHIDI DENTAL |
| Entity Type | Organization |
| Authorized Contact | FARAZ MICHAEL KHORSHIDI Owner/Dentist 424-285-4043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-10-14 |
| Last Update Date | 2022-10-14 |