| NPI | 1760934871 |
|---|---|
| Doing Business As | LA MESA MODERN DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | SHAHAB ARIANNEJAD Owner 619-324-4195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2016-10-25 |