| NPI | 1073183893 |
|---|---|
| Former Legal Business Name | JANISSE DENTAL INC |
| Entity Type | Organization |
| Authorized Contact | ROBERT JANISSE Owner 925-774-4761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
| Enumeration Date | 2021-06-25 |
| Last Update Date | 2021-06-25 |