| NPI | 1730201807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOHEYLA MARZVAAN Dentist 949-481-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 51411) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2020-08-22 |