NPI | 1114214269 |
---|---|
Doing Business As | DOVE DENTAL SPA |
Entity Type | Organization |
Authorized Contact | WARREN J GEROSA CEO 310-645-2886 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 33712) |
Enumeration Date | 2011-07-08 |
Last Update Date | 2011-07-08 |