| NPI | 1801314968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZAIHLY AZAR Owner 619-267-6599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: 46745) |
| Enumeration Date | 2017-09-08 |
| Last Update Date | 2022-07-21 |