| NPI | 1174730741 |
|---|---|
| Doing Business As | GENTLE DENTAL DEL LAGO |
| Entity Type | Organization |
| Authorized Contact | WILLIAM J COX President 800-684-6440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 26160) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2021-06-29 |