| NPI | 1851930655 |
|---|---|
| Doing Business As | AVRA DENTAL |
| Entity Type | Organization |
| Authorized Contact | TARIQ JABAITI President/Dentist 805-941-1001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2019-12-27 |
| Last Update Date | 2020-07-24 |