NPI | 1962864884 |
---|---|
Doing Business As | RANCHO DEL REY ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | SHAHRZAD PRATER President 619-421-8742 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 061814) |
Enumeration Date | 2016-03-22 |
Last Update Date | 2016-03-22 |