| NPI | 1023360120 |
|---|---|
| Doing Business As | GOSFORD VILLAGE DENTAL GROUP AND ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | WALTER JEFFERSON Owner Doctor 661-588-2065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2012-10-12 |