| NPI | 1972240455 |
|---|---|
| Doing Business As | UNIVERSITY MODERN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ALI SHAHRESTANI Owner Dentist 980-890-7590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2022-05-17 |
| Last Update Date | 2022-05-17 |