| NPI | 1003578824 |
|---|---|
| Doing Business As | QUACH CENTRAL VALLEY DENTAL |
| Entity Type | Organization |
| Authorized Contact | DARU WARDONO Office Manager 661-323-0076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-10-08 |
| Last Update Date | 2021-10-08 |