NPI | 1164648291 |
---|---|
Doing Business As | SOUTHERN CALIDORNIA DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | LARRY HAMER President 818-905-5400 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 43604) |
Enumeration Date | 2007-04-17 |
Last Update Date | 2020-08-22 |