| NPI | 1003654104 |
|---|---|
| Doing Business As | PROACTIVE DENTAL CLINIC CORP |
| Entity Type | Organization |
| Authorized Contact | SOLAMAN SHIRE Owner 310-883-8932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health |
| Enumeration Date | 2024-07-15 |
| Last Update Date | 2024-07-16 |