| NPI | 1124806039 |
|---|---|
| Doing Business As | FREMONT FAMILY DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | GAGANDEEP KOHLI President 510-792-9084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-09-20 |
| Last Update Date | 2023-09-20 |