| NPI | 1053450213 |
|---|---|
| Doing Business As | MISSION DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | MICHAEL J THORNE President 805-648-1090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 43868) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-08-22 |