NPI | 1003278409 |
---|---|
Doing Business As | DENTISTS OF SOUTH BAY DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | JOAN THANH TO Owner Dentist 310-752-4998 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2016-03-24 |
Last Update Date | 2016-03-24 |