| NPI | 1013134808 |
|---|---|
| Doing Business As | HI-DESERT DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | LEONEED GORDON President CEO 661-273-1333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 43266) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 32936) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2020-08-22 |