NPI | 1144437898 |
---|---|
Former Legal Business Name | DE VELA DENTAL GROUP, INC. |
Entity Type | Organization |
Authorized Contact | ARMAINE DE VELA Dentist CEO 323-462-3305 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 40572) |
Enumeration Date | 2007-05-16 |
Last Update Date | 2020-08-22 |