NPI | 1043858582 |
---|---|
Doing Business As | OCEAN BREEZE DENTAL CARE |
Entity Type | Organization |
Authorized Contact | TRAVIS LEE Dentist 310-312-5070 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2019-12-16 |
Last Update Date | 2019-12-16 |