| NPI | 1841590080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHKAN ALIZADEH Dentist 916-543-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 26411) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 37137) |
| 122300000X Dentist (Licence: CA 51543) | |
| Enumeration Date | 2010-10-21 |
| Last Update Date | 2010-10-21 |