| NPI | 1801255104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEHRNOOSH MOGHADDAM Owner 510-796-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 43716) |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2016-02-15 |