| NPI | 1194930982 |
|---|---|
| Doing Business As | DENTISTRY AT 4S RANCH |
| Entity Type | Organization |
| Authorized Contact | JIMMY I WANG President 858-487-6428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 51387) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-08-22 |