| NPI | 1972097947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMID HEMMAT Owner Dentist 949-394-6369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 63539) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 63539) |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2018-06-21 |