| NPI | 1124685326 |
|---|---|
| Doing Business As | EMERALD DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | PERLA QUINTANA Om 951-695-5678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2019-05-27 |