| NPI | 1164758256 |
|---|---|
| Doing Business As | GREATER LONG BEACH DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | CAMILLE QUIJANO ADLI President 562-436-6013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2009-10-23 |
| Last Update Date | 2009-10-23 |