NPI | 1871763466 |
---|---|
Doing Business As | BARRANCA CANYON DENTISTRY |
Entity Type | Organization |
Authorized Contact | SAMIRA SHAFAEE Owner Dentist 949-654-4654 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 49212) |
Enumeration Date | 2008-03-10 |
Last Update Date | 2012-02-14 |