NPI | 1124199351 |
---|---|
Doing Business As | LONG BEACH DENTAL |
Entity Type | Organization |
Authorized Contact | RONALD J. XAVIER Owner 562-436-4214 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 23155) |
Enumeration Date | 2006-11-10 |
Last Update Date | 2020-08-22 |