| NPI | 1801248950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BABAN DHARIWAL President 916-298-7345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2023-09-05 |