| NPI | 1750786349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD TAHERI President 949-200-3150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist Prosthodontics (Licence: CA 63463) |
| Enumeration Date | 2014-10-26 |
| Last Update Date | 2014-10-26 |