NPI | 1720520539 |
---|---|
Doing Business As | WESTLAKE DENTAL CARE |
Entity Type | Organization |
Authorized Contact | FARID TEBYANI President/Owner 805-300-8110 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 53485) |
Additional Taxonomies | 122300000X Dentist (Licence: CA 53485) |
Enumeration Date | 2016-11-10 |
Last Update Date | 2016-11-10 |