NPI | 1720324494 |
---|---|
Doing Business As | CHOICE DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | FARID PAKRAVAN Owner 310-820-9933 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 39862) |
Enumeration Date | 2012-12-27 |
Last Update Date | 2012-12-27 |