| NPI | 1881815728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARDAD BORHANI President 909-792-8079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 54068) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2008-08-25 |