NPI | 1154102531 |
---|---|
Doing Business As | GOLD COAST DENTAL NORTHRIDGE |
Entity Type | Organization |
Authorized Contact | ALAN BOVAL Chief Executive Officer 562-356-0948 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2023-10-11 |
Last Update Date | 2023-10-11 |