NPI | 1124384417 |
---|---|
Doing Business As | BEACH CITY DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | JOAN THANH TO Dds Owner 310-376-5252 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 53880) |
Enumeration Date | 2012-04-11 |
Last Update Date | 2022-05-11 |