| NPI | 1982073565 |
|---|---|
| Doing Business As | DENTIST IN GREEN |
| Entity Type | Organization |
| Authorized Contact | FARHAD KIANI President 949-777-6688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 59172) |
| Enumeration Date | 2015-09-24 |
| Last Update Date | 2015-09-24 |