NPI | 1114672342 |
---|---|
Former Legal Business Name | LEONCIO N FIERRO, D.D.S. |
Entity Type | Organization |
Authorized Contact | LEONCIO NIKOLAY FIERRO Dentist/CEO 408-317-0162 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2022-02-16 |
Last Update Date | 2022-04-07 |