| NPI | 1821404179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARASH ABOLFAZLIAN President/Owner 925-230-2966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: CA 61500) |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2014-07-08 |