NPI | 1912447566 |
---|---|
Doing Business As | SOUTH COAST FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | AMITISS NASIRI Dds/Owner 714-556-7277 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 55817) |
Enumeration Date | 2017-03-01 |
Last Update Date | 2017-03-01 |