NPI | 1104973197 |
---|---|
Doing Business As | FRIENDLY DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | JORGE HERNANDEZ ZAMUDIO Owner Dentist 951-894-7769 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 45873) |
Enumeration Date | 2007-01-04 |
Last Update Date | 2020-08-22 |