NPI | 1164851747 |
---|---|
Doing Business As | LA SIERRA FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | CHANCHAI SANGSURASAK President 951-354-9550 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 58501) |
Enumeration Date | 2013-11-05 |
Last Update Date | 2013-11-05 |