| NPI | 1699567222 |
|---|---|
| Doing Business As | SADDLEBACK PERIODONTICS AND IMPLANT DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | FARTASH FARKHONDEHKISH Dentisit 949-770-0548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2025-05-20 |
| Last Update Date | 2025-05-20 |