NPI | 1992350508 |
---|---|
Doing Business As | PARK PLACE DENTISTRY |
Entity Type | Organization |
Authorized Contact | MASI M HASHEMIAN President/Owner Dentist 949-251-0011 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2019-08-09 |
Last Update Date | 2019-09-06 |