NPI | 1164762829 |
---|---|
Doing Business As | COTTONWOOD DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | KEVIN OSBORN President 619-444-0500 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 42866) |
Enumeration Date | 2013-02-18 |
Last Update Date | 2013-02-18 |