NPI | 1720462138 |
---|---|
Doing Business As | SHOREVIEW DENTAL SAN MATEO |
Entity Type | Organization |
Authorized Contact | HESSAM AHANI CEO 650-524-4855 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 42967) |
Enumeration Date | 2015-07-15 |
Last Update Date | 2015-07-15 |