| NPI | 1730747338 |
|---|---|
| Doing Business As | 63 FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | GHAZAL S KERMANI Manager/Owner 949-701-5320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2019-05-30 |