| NPI | 1124415658 |
|---|---|
| Doing Business As | NIPOMO FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS NG Owner/Dentist 805-929-1888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 56490) |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2015-04-22 |