| NPI | 1124563119 |
|---|---|
| Former Legal Business Name | DENTABLISS DENTAL |
| Entity Type | Organization |
| Authorized Contact | CHERI DANG Owner/President 818-800-4868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 58382) |
| Additional Taxonomies | 1223D0004X Dentist, Dentist Anesthesiologist Speciality (Licence: CA 1495) |
| 1223G0001X Dentist, General Practice (Licence: CA 58382) | |
| Enumeration Date | 2016-12-29 |
| Last Update Date | 2016-12-29 |