NPI | 1861139719 |
---|---|
Former Legal Business Name | EBI NIKJOO DENTAL CORP |
Former Legal Business Name | NIKJOO DDS INC |
Entity Type | Organization |
Authorized Contact | EBI NIKJOO Owner 909-820-5062 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2022-05-12 |
Last Update Date | 2022-05-12 |