NPI | 1164066627 |
---|---|
Doing Business As | LAGUNA PAVILION DENTAL |
Entity Type | Organization |
Authorized Contact | OMAR SATTOUT Dr 909-248-8417 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2019-10-29 |
Last Update Date | 2019-10-29 |