| NPI | 1811570492 |
|---|---|
| Doing Business As | CLEMSON MODERN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ALI SHAHRESTANI Owner Dentist 714-845-8890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-05-03 |
| Last Update Date | 2021-05-03 |