NPI | 1780111922 |
---|---|
Entity Type | Organization |
Authorized Contact | NIHAR D TANNA President 909-464-9348 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 49812) |
Enumeration Date | 2017-05-18 |
Last Update Date | 2020-04-29 |