| NPI | 1912431628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NUJOUD MUBARAKA Owner 661-473-1440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 50789) |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2022-07-21 |