NPI | 1164510004 |
---|---|
Former Legal Business Name | RIVERSIDE FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | HON VAN CAO President 951-684-6600 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA CA38655) |
Enumeration Date | 2006-10-10 |
Last Update Date | 2020-08-22 |