| NPI | 1891183877 |
|---|---|
| Doing Business As | WESTPORT DENTAL |
| Entity Type | Organization |
| Authorized Contact | MANHAR MISTRY President 714-606-4908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 28045) |
| Enumeration Date | 2014-12-29 |
| Last Update Date | 2014-12-29 |