NPI | 1154842466 |
---|---|
Former Legal Business Name | MERCED FAMILY DENTISTRY LLC |
Entity Type | Organization |
Authorized Contact | NATHAN WILLIAM MILLER Owner Dentist 209-723-5405 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 61768) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 100236) |
Enumeration Date | 2017-06-28 |
Last Update Date | 2019-02-06 |