| NPI | 1912564089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAJID KASHANI Owner 949-633-9979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Additional Taxonomies | 122300000X Dentist |
| 1223G0001X Dentist, General Practice | |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2019-05-23 |