NPI | 1104040468 |
---|---|
Doing Business As | WEST COAST DENTAL GROUP OF 6TH STREET |
Entity Type | Organization |
Authorized Contact | WEN WANG Owner 213-413-5151 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 48678) |
Enumeration Date | 2007-04-11 |
Last Update Date | 2020-08-22 |