NPI | 1013158435 |
---|---|
Doing Business As | DYNAMIC DENTAL |
Entity Type | Organization |
Authorized Contact | DENISSE MONTALVO Dentist 916-368-2500 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 55064) |
Enumeration Date | 2009-03-14 |
Last Update Date | 2009-03-14 |