| NPI | 1740857812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALI AMROLLAHIE General Partner 949-510-7795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2021-06-08 |
| Last Update Date | 2021-06-08 |