NPI | 1144819509 |
---|---|
Doing Business As | MENLO PEDIATRIC DENTAL |
Entity Type | Organization |
Authorized Contact | EUNHAE KWON CEO 650-323-0264 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2021-01-11 |
Last Update Date | 2021-01-11 |