NPI | 1023722881 |
---|---|
Former Legal Business Name | QUALITY DENTAL ADMINISTRATION INC |
Entity Type | Organization |
Authorized Contact | DORA H CASTILLO Manager/ Or Administration 626-346-4411 |
Organization Subpart ? | Yes |
Primary Taxonomy | 122300000X Dentist |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2023-01-06 |
Last Update Date | 2024-08-02 |