| NPI | 1740500974 |
|---|---|
| Doing Business As | FAMILIA DENTAL |
| Entity Type | Organization |
| Authorized Contact | KOUSHAN H. AZAD President/Owner 888-988-4066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2010-06-10 |