NPI | 1205052412 |
---|---|
Doing Business As | SOUTHLAND DENTAL CARE |
Entity Type | Organization |
Authorized Contact | JOHN J. MUZIO President 510-785-7010 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 24488) |
Enumeration Date | 2007-04-17 |
Last Update Date | 2020-08-22 |