NPI | 1720226137 |
---|---|
Doing Business As | BK FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | BEHNAZ KHODADAD Dentist 951-243-5607 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 54158) |
Enumeration Date | 2009-01-23 |
Last Update Date | 2009-01-23 |