NPI | 1124227947 |
---|---|
Doing Business As | CENTRAL CITY DENTAL OFFICE |
Entity Type | Organization |
Authorized Contact | ALFREDO VELAZQUEZ Dentist 909-383-8328 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2007-07-12 |
Last Update Date | 2017-01-18 |