| NPI | 1144835448 |
|---|---|
| Doing Business As | GOLDEN GROVE DENTAL |
| Entity Type | Organization |
| Authorized Contact | MATHEW DELGADILLO President 559-375-2574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-09-13 |
| Last Update Date | 2020-09-13 |