| NPI | 1760829469 |
|---|---|
| Doing Business As | PORTOLA DENTAL |
| Entity Type | Organization |
| Authorized Contact | ABBAS RAJABI President 949-916-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 48667) |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2013-06-04 |