NPI | 1053731166 |
---|---|
Doing Business As | 1ST CHOICE DENTAL GROUP 2 |
Entity Type | Organization |
Authorized Contact | KEVIN LA President 714-879-2828 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 48734) |
Enumeration Date | 2014-04-16 |
Last Update Date | 2014-04-16 |