| NPI | 1124354279 |
|---|---|
| Doing Business As | CENTENNIAL DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | WASFI FOUAD SALAMA President 661-366-6527 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 47836) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 40854) |
| 1223E0200X Dentist, Endodontics (Licence: CA 53513) | |
| 1223G0001X Dentist, General Practice (Licence: CA 52464) | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 50071) | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 55221) | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 53917) | |
| Enumeration Date | 2009-10-26 |
| Last Update Date | 2009-10-26 |