NPI | 1174709067 |
---|---|
Doing Business As | NEIGHBORHOOD FAMILY DENTAL PRACTICE |
Entity Type | Organization |
Authorized Contact | GLADYS LUISA BERRY President 858-467-0503 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 39969) |
Enumeration Date | 2008-01-10 |
Last Update Date | 2008-01-10 |