| NPI | 1881892966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARHANG SHAHZADI Owner/CEO 949-292-2733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 033687) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 47417) |
| 122300000X Dentist (Licence: CA 52373) | |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2019-11-07 |