| NPI | 1700169323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOJDEH TAJBAKHSH Dentist 760-727-6800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 60377) |
| Enumeration Date | 2011-09-20 |
| Last Update Date | 2011-09-20 |