| NPI | 1750894374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHIN NOSRATI-JAHROMI Owner Dentist 909-330-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 53932) |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2022-01-21 |