NPI | 1104248566 |
---|---|
Doing Business As | DIAMOND CREEK DENTAL |
Entity Type | Organization |
Authorized Contact | JOSEPH WEITAI LEE President 909-869-8500 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 60609) |
Enumeration Date | 2014-01-20 |
Last Update Date | 2024-02-09 |