| NPI | 1750848776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARASH SABBAGH FARD Owner 805-499-1253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center Oral and Maxillofacial Surgery |
| Enumeration Date | 2019-02-26 |
| Last Update Date | 2019-02-26 |