NPI | 1043418635 |
---|---|
Doing Business As | GOLDENSTATEDENTALGROUP |
Entity Type | Organization |
Authorized Contact | NAGARAJA P MURTHY Owner 310-639-5000 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2007-07-05 |
Last Update Date | 2020-08-22 |