| NPI | 1770345282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARANTEJ KOHLI Owner 619-670-1706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2024-01-29 |
| Last Update Date | 2024-01-29 |