NPI | 1043610710 |
---|---|
Other Name | RE2DOC INC. |
Entity Type | Organization |
Authorized Contact | JOHN RICHARD AVARICIO RETODO Owner 310-787-9172 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 39072) |
Enumeration Date | 2014-08-29 |
Last Update Date | 2014-08-29 |