| NPI | 1790034700 |
|---|---|
| Doing Business As | HIGH SIERRA DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | SALEEM M KIWAN Provider/Owner/President 559-224-3110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 50411) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: CA 50411) |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2012-09-27 |