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 |