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 |