| NPI | 1912598525 |
|---|---|
| Doing Business As | DENTIST OF WEST COVINA |
| Entity Type | Organization |
| Authorized Contact | OMID BARKHORDAR Owner 818-624-1601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-01-27 |
| Last Update Date | 2021-01-27 |