NPI | 1104324862 |
---|---|
Doing Business As | BEACHFRONT DENTISTRY |
Entity Type | Organization |
Authorized Contact | MICHAEL Z HOPKINS President 310-995-3551 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center Dental |
Enumeration Date | 2018-01-29 |
Last Update Date | 2018-01-29 |