| NPI | 1881997971 |
|---|---|
| Doing Business As | NEW AGE FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | SHAHRAM HOSSEINI Owner 805-520-6490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2010-12-10 |
| Last Update Date | 2010-12-10 |