| NPI | 1073361846 |
|---|---|
| Doing Business As | MANTECA DENTISTRY AND IMPLANTS |
| Entity Type | Organization |
| Authorized Contact | NISHANDEEP SINGH CHAHAL CEO 209-678-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-05-08 |
| Last Update Date | 2024-05-08 |