| NPI | 1194508184 |
|---|---|
| Doing Business As | CROWN VALLEY DENTAL |
| Entity Type | Organization |
| Authorized Contact | MICHAEL DIEP President 714-335-0514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-08-15 |
| Last Update Date | 2023-08-15 |