| NPI | 1124661095 |
|---|---|
| Doing Business As | BEACH CITIES DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | GEORGIA HADDAD Owner 805-278-8887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2019-10-23 |