NPI | 1760632038 |
---|---|
Entity Type | Organization |
Authorized Contact | MEHRAN A. RAZA President 619-823-7002 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 41989) |
Enumeration Date | 2008-09-24 |
Last Update Date | 2016-10-25 |