| NPI | 1912453457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD ALI ZAREH President 9513-135-5544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 56360) |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2016-08-25 |