NPI | 1154907301 |
---|---|
Doing Business As | MODERN AMERICAN DENTISTRY |
Entity Type | Organization |
Authorized Contact | ANKUR MOHINDRA Dentist / Owner 310-303-7930 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2021-03-18 |
Last Update Date | 2021-03-18 |