| NPI | 1790996502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOJGAN HASHEMI CEO President 805-449-9952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 40244) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2008-01-28 |