| NPI | 1710192919 |
|---|---|
| Doing Business As | DENTISTRY OF OLD TOWN |
| Entity Type | Organization |
| Authorized Contact | RANA K. ISAQI Dentist 619-297-7722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2020-08-22 |