NPI | 1790984920 |
---|---|
Doing Business As | SPECTRUM DENTISTRY |
Entity Type | Organization |
Authorized Contact | PADIDEH SHAFIEI President 949-246-0944 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2007-07-17 |
Last Update Date | 2007-07-17 |