| NPI | 1770098279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AZEEM HARRIS QURESHI President 562-412-5624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: CA 41777) |
| Enumeration Date | 2017-12-06 |
| Last Update Date | 2017-12-06 |