| NPI | 1104016971 |
|---|---|
| Doing Business As | MARANATHA DENTAL PRACTICE |
| Entity Type | Organization |
| Authorized Contact | HERNANDO SUAREZ Owner 714-537-7773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 48384) |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2007-07-27 |