| NPI | 1912243098 |
|---|---|
| Doing Business As | BRILLIANT SMILE DENTAL GROUP OF MAHSHID FARHOUMAND DDS |
| Entity Type | Organization |
| Authorized Contact | MAHSHID FARHOUMAND Owner 949-716-7166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2012-12-18 |
| Last Update Date | 2012-12-18 |