NPI | 1043718018 |
---|---|
Doing Business As | POWAY ELITE DENTISTRY |
Entity Type | Organization |
Authorized Contact | GUOBIN HE Dentist 858-275-6507 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2018-01-25 |
Last Update Date | 2021-06-16 |