| NPI | 1982081071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOUDABEH SHARAFI Owner 760-291-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 52929) |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2015-04-28 |