| 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 |