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 |