| NPI | 1144365503 |
|---|---|
| Doing Business As | CERULEAN DENTAL SPA |
| Entity Type | Organization |
| Authorized Contact | TOMMY P LEE President 408-988-1588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 48309) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-08-22 |