| NPI | 1962123018 |
|---|---|
| Former Legal Business Name | IMPLANTS PRO CENTER |
| Entity Type | Organization |
| Authorized Contact | MOHAMED IKBAL ALI Dentist 415-391-7751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-09-07 |
| Last Update Date | 2022-09-07 |